This document provides instructions for writing a prospectus for a Doctor of Nursing Practice degree. It outlines the required sections and criteria for evaluation. Key sections include an introduction that introduces the topic and explains why the study is needed. The background provides a definition of the problem and how it has evolved based on prior literature. The problem statement clearly identifies the problem and how it affects the target population. The purpose of the study connects the problem to the research methodology and design. Research questions are also outlined that will guide the qualitative study on the effects of medication administration errors on leukemia patients aged 3-4. The significance of the study is to understand the root causes of errors to develop strategies to improve healthcare quality and reduce mortality.
IMPACTS OF MEDICATION ADMINISTRATION ERROR 1.docxsheronlewthwaite
IMPACTS OF MEDICATION ADMINISTRATION ERROR
1
IMPACTS OF ADMINISTRATIVE ERRORS
5
Impacts of Medication Administration Error on Three to Four years-old Leukemia Patients
Submitted by:
Prospectus
Doctor of Nursing Practice
The Prospectus Overview and Instructions
Prospectus Instructions:
1. Read the entire Prospectus Template to understand the requirements for writing your prospectus. Each section contains a narrative overview of what should be included in the section and a table with the required criteria for each section. WRITE TO THE CRITERIA, as they will be used to assess the prospectus for the overall quality and feasibility of your proposed research study.
2. As you draft each section, delete the narrative instructions and insert your work related to that section. Use the criterion table for each section to ensure that you address the requirements for that particular section. Do not delete/remove the criterion table as this is used by you and your committee to evaluate your prospectus.
3. Prior to submitting your prospectus for review by your chair or methodologist, use the criteria table for each section to complete a realistic self-evaluation, inserting what you believe is your score for each listed criterion into the Learner Self-Evaluation column. This is an exercise in self-evaluation and critical reflection, and to ensure that you completed all sections, addressing all required criteria for that section.
4. The scoring for the criteria ranges from a 0-3, as defined below. Complete a realistic and thoughtful evaluation of your work. Your chair and methodologist will also use the criterion tables to evaluate your work.
5. Your Prospectus should be no longer than 6-10 pages when the tables are deleted.
Score
Assessment
0
Item Not Present
1
Item is Present. Does Not Meet Expectations. Revisions are Required: Not all components are present. Large gaps are present in the components that leave the reader with significant questions. All items scored at one must be addressed by learner peer reviewer comments.
2
Item is Acceptable. Meets Expectations.Some Revisions May Be Required Now or in the Future. The component is present and adequate. Small gaps are present that leaves the reader with questions. Any item scored at two must be addressed by the learner per the reviewer's comments.
3
Item Exceeds Expectations. No Revisions Required. The component is addressed clearly and comprehensively. No gaps are present that leaves the reader with questions. No changes required.
Contents
Introduction
4-5
Background of the Problem
6-7
Problem Statement
8
Purpose of the Study
9
10Research Questions-11
12Advancing Scientific Knowledge and Significance of the Study
14Rationale for Methodology
16Nature of the Research Design for the Study
18Sources of Data
19NOTE: This section elaborates on the Data Collection from the 10 Strategic Points.
19Data Collection
22Data Analys ...
Compliance Issues WorksheetYour Name First and lastYour E-m.docxskevin488
Compliance Issues Worksheet
Your Name: First and last
Your E-mail Address: Your email hereInstructions
Use this worksheet to complete Prompt 6 of the OM002 Assessment.
Scenario
Compliance Issue
Recommended Course of Action
Example:
A patient is discharged without proper instructions for prescribed medication.
Violation of NPSG.03.06.01
Investigate why proper discharge protocols were not utilized.
A recent patient at your hospital contracts Methicillin-resistant Staphylococcus aureus (MRSA). All proper infection-control guidelines were followed.
No violation occurred.
Contact Infection control staff immediately and report the incidence as required.
A phlebotomist does not wash her hands before a blood draw for a post-operative patient.
A patient complains that her hospital identification bracelet is causing a rash. She removes and discards it. The nurse administers medication based on a verbal identification because she recognizes the patient from her previous two shifts.
A patient with no known drug allergies is given a drug. The patient has a reaction to the drug, goes into anaphylactic shock, and dies.
An obese hospital patient requests that an aide help him to the bathroom. The aide requests assistance, but no one is available. The aide escorts the patient alone, and the patient falls.
A nurse in the intensive care unit (ICU) disables an alarm on a machine used to monitor a critically ill patient. When asked about his decision to disable the alarm, he claims the beeping was bothering family members visiting the patient. The patient is treated without incident.
The cleaning staff frequently positions a linen cart so that it blocks access to a fire door in a hospital corridor.
A hospital built in the 1970s does not meet the new fire safety codes.
A blood test indicates an emergency room patient has a serious and highly contagious disease. The blood test results are reported to the attending physician 90 minutes after they are known.
An experienced nurse does not label oral medications for his intensive care unit (ICU) patients because he can identify the medications based on the shape and color of the pills.
A healthy young women checks into the hospital for a minor outpatient procedure. She recognizes the pre-op nurse from her volleyball league. When the nurse asks about what medications she is taking, she withholds that she is taking antidepressants and anti-anxiety medications.
During a pre-procedure verification, an elderly patient with early-stage dementia insists that her left hip will be replaced. Records indicate that her right hip is to be replaced. The operating room (OR) is behind schedule but the surgical team delays the operation to consult with the patient’s family.
A surgeon delegates the marking of the procedure site for an upcoming surgery to a surgical resident.
The operating room (OR) is running almost 2 hours behind schedule. A surgeon has six routine operations. He skips the time-out before th.
Running head FINAL WRITTEN PROPOSAL1FINAL WRITTEN PROPOSAL.docxcharisellington63520
Running head: FINAL WRITTEN PROPOSAL1
FINAL WRITTEN PROPOSAL2
Final Written Proposal
Toni Stewart
Rasmussen College
Author Note
This paper is being submitted on December 6, 2015 for Professor Kerley’s G171/COMM1388 Communicating in Your Profession course.
Problems Faced in the Medical Industries
Executive Summary
It is important for all health care professionals to ensure that due care is provides to them. This requires all qualified medical doctors give patients the time for diagnosis and subsequent treatment. In many health care centers, doctors may be overwhelmed leading to cases where their assistants have to step in and take over their role. In the process, this may compromise the quality of care accorded to the patients and may have significant ramifications legally and otherwise. There are, however, certain measures that can be taken to deal with this problem. One such measure rests on restructuring the system in a manner which the PA’s see them first and do the initial assessment, and then one of the doctors do the final assessment. This might mean cutting down the number of patients seen per day so that the PA’s and Doctors can better focus on taking good care of the ones they do see. This proposal will examine who this system will be implemented in a selected health care center highlighting the benefits that accrue from it.
Purpose
At Family Healthcare Associates, Inc., physicians and their assistants have always been challenged with huge number of patients in their clinics. The aim of this strategy is to reduce the cost of operation for the clinic due to huge medical expenses available in the market today. Senior management needs to adopt a business like strategy to ensure the clinic remain a float and doctors have enough time to focus on each patient per specific period of time (Fattal, 2011).
Problem
The cost of maintaining Family Healthcare Associates, Inc. has been a challenge due to increase in salaries and financial packages. These increases in financial expenditure by the clinic have made it impossible to manage doctor-patient relationship that most clinics have set standards for. These challenges can pose a threat to the health of many patients who require immediate medical attention on time. The Doctors have such a busy schedule that they do not have the personal one on one relationships with any of their patients that they need to have in order to fully know what is going on with their patients.
One of the most common scenarios where patients and doctors experience these challenges happens during emergencies. Doctors have to abandon their current patients in order to attend to more urgent emergencies of another patient (Gropper, 2009). This isn’t always a big problem in small clinics today, but it does happen from time to time. Sometimes doctors can leave the patient unattended for a long time which can cause health care problems for the patient in the future.
Sometimes doctors and other medical sta.
11218, 10(54 AMAnalyze a Current Health Care Problem or Issu.docxdrennanmicah
11/2/18, 10(54 AMAnalyze a Current Health Care Problem or Issue Scoring Guide
Page 1 of 2https://courserooma.capella.edu/bbcswebdav/institution/NHS-FP/NHS-FP4000/180700/Scoring_Guides/a03_scoring_guide.html
Analyze a Current Health Care Problem or Issue Scoring Guide
CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Use scholarly
information to
describe and
explain a health
care problem or
issue and
identify possible
causes for it.
Does not use
scholarly
information to
describe and
explain a health
care problem or
issue and
identify possible
causes for it.
Describes a health
care problem or
issue but does not
explain it, or
identifies possible
causes for a
problem or issues
but the
identification is
incomplete or
inaccurate.
Uses scholarly
information to
describe and
explain a
health care
problem or
issue and
identify
possible
causes for it.
Uses scholarly
information to describe
and explain a health
care problem or issue
and identify possible
causes for it. Indicates
which causes are the
most likely.
Analyze a health
care problem or
issue by
describing the
context,
explaining why it
is important, and
identifying
populations
affected by it.
Does not
analyze a health
care problem or
issue by
describing the
context,
explaining why it
is important, and
identifying
populations
affected by it.
Identifies a health
care problem or
issue but does not
analyze it.
Analyzes a
health care
problem or
issue by
describing the
context,
explaining why
it is important,
and identifying
populations
affected by it.
Analyzes a health care
problem or issue by
describing the context,
explaining why it is
important, and
identifying populations
affected by it. Provides
examples that support
the analysis.
Discuss potential
solutions for a
health care
problem or issue
and describe
what would be
required to
implement a
solution.
Does not
discuss potential
solutions for a
health care
problem or issue
and describe
what would be
required to
implement a
solution.
Incompletely or
inaccurately
discusses potential
solutions for a
health care
problem or issue
and what would be
required to
implement a
solution.
Discusses
potential
solutions for a
health care
problem or
issue and
describes what
would be
required to
implement a
solution.
Discusses potential
solutions for a health
care problem or issue
and describes what
would be required to
implement a solution,
including potential
consequences of
ignoring the problem
or issue.
Analyze the
ethical
implications if a
potential
solution to a
health care
problem or issue
was
Does not
analyze the
ethical
implications if a
potential
solution to a
health care
problem or issue
Identifies ethical
implications if a
potential solution
to a health care
problem or issue
was implemented,
but does not
analyze the
Analyzes the
ethical
implications if a
potential
solution to a
health care
problem or
issue was
Analyzes the ethical
implications if a
potential solution to a
health care problem or
issue was
implemented, usi.
Running head CHALLENGES IN UTILIZATION AND CASE MANAGEMENT IN MAN.docxtodd271
Running head: CHALLENGES IN UTILIZATION AND CASE MANAGEMENT IN MANAGED CARE
1
CHALLENGES IN UTILIZATION AND CASE MANAGEMENT IN MANAGED CARE 3
Challenges in Utilization and Case Management in Managed Care
Leribeth Inoa
2/23/2019
Managed care refers to the practice of managing some aspects of the medical services i.e. the cost and the quality of the medical services. Managed care can be managed by healthcare providers when providing healthcare services. Utilization management refers to the processes or the activities that are involved in the management of care. for example Uutilization management is relied on in terms of managing the cost in the health plan. It also refers to the routine functions which are utilized for the management of the cost of the medical services. Utilization management is entailing aspects such as prospective, concurrent, and the retrospective review. A prospective review is involving the process of tackling the utilization before its occurrence; con-current review is addressing the utilization as it happens; whereas the retrospective review occurs after the fact. Case management, on the other hand, is relied on in delivering substantial savings. In case of management, trained nurses are relying on the nurses to help in the coordinating the aspects of care like rehabilitation, home care, and health education thus helping in the improvement of the outcomes and the reduction of the expenses (Peter, 2019). Comment by Susan Such: I think I know what you are trying to say but you should rework the sentence. You might indicate that “managed care guidelines are adhered to by providers”. The providers don’t actually manage managed care, but they are subject to the rules of it. Comment by Susan Such: I think you could do better with this in terms of explaining the meaning. Comment by Susan Such: Process as you wrote it is singular, activities is plural. When you then have to figure out to use is or are you have an issue. Both have to be either singular or plural. Comment by Susan Such: End of sentence. Begin the next sentence with Utilization management is relied on…… Comment by Susan Such: This pretty much duplicates the previous sentence Comment by Susan Such: Aspects of utilization management are prospective, concurrent, and retrospective review. Comment by Susan Such: Explain with a bit more details. What is being reviewed?? Comment by Susan Such: In case management specially trained nurses rely on the staff nurses to help…… Comment by Susan Such: Comment by Susan Such: Is this the one paragraph introduction? There should be a paragraph that explains what the paper is intending to accomplish or teach, etc. I would say that the paragraph here is explaining your topic. But you don’t have an introduction.
Challenges in Utilization and Case Management in Managed Care
Utilization management is considered to process which have been well thought-out to help in the controlling of the medical serv.
This document discusses how to apply evidence-based dentistry to patients. It notes that evidence-based practice aims to inform clinical decisions, not impose them, by considering factors specific to individual patients. When applying research findings, clinicians must consider if statistical significance translates to clinical significance for patients, if study populations match their patient, and if treatment settings can be replicated. The patient's preferences, resources, and social factors must also influence treatment decisions.
CUR 540 Week Five Individual Assignment RubricPointsPo.docxannettsparrow
CUR 540 Week Five Individual Assignment Rubric
Points
Possible
Points
Earned
Comments:
All key elements of the assignment are covered in a substantive way.
· Identified three possible areas in which growth may be warranted.
· Justified selections.
· Wrote two SMART goals and one goal using one other goal-setting strategy that you discovered for each targeted area.
0.75
0.75
3
0.25
0.25
The exam followed APA guidelines for format [included a Title Page and reference page (if applicable)].
Rules of grammar, usage, and punctuation are followed & Spelling is correct.
Points
Possible:
5
Points
Earned:
Dr. Gina Stafford
University of Phoenix Faculty [email protected]
Patient Education Scoring Guide
CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Explain the
appropriate use of a
medication.
Does not explain the
appropriate use of a
medication.
Explains the use of
a medication, but
the explanation is
inaccurate or not
appropriate for the
medication.
Explains the
appropriate use of a
medication.
Explains the appropriate
use of a medication and
the importance of
following the instructions
in terms of quality patient
outcomes.
Identify specific
factors that may
affect the efficacy of
a medication.
Does not identify
specific factors that
may affect the
efficacy of a
medication.
Lists factors that
may affect a
medication, but the
list is incomplete or
does not relate to
the efficacy of the
medication.
Identifies specific
factors that may
affect the efficacy of
a medication.
Explains how specific
factors may affect the
efficacy of a medication.
Describe possible
chemical reactions,
side effects, or other
negative reactions a
patient may
experience from a
medication.
Does not describe
possible chemical
reactions, side
effects, or other
negative reactions a
patient may
experience from a
medication.
Lists possible
chemical reactions,
side effects, or other
negative reactions a
patient may
experience from a
medication.
Describes possible
chemical reactions,
side effects, or other
negative reactions a
patient may
experience from a
medication.
Describes possible
chemical reactions, side
effects, or other negative
reactions a patient may
experience from a
medication and explains
the actions a patient
should take.
Explain correct
handling, storage,
and disposal of a
medication.
Does not explain
correct handling,
storage, and disposal
of a medication.
Explains handling,
storage, and
disposal of a
medication, but the
explanation is
inaccurate or
incomplete.
Explains correct
handling, storage,
and disposal of a
medication.
Explains correct handling,
storage, and disposal of a
medication and includes a
brief rationale of why
these instructions are
important.
Explain how a
patient education
tool promotes
patient safety
related to
pharmacology.
Does not explain how
a patient education
tool promotes p.
This document discusses medication administration by nurses and reasons for medication errors. It notes that 40-60% of a nurse's time is spent on medication administration. Medication errors can occur due to failure to follow safe administration procedures, complexity of drugs, high patient loads, lack of knowledge, and other system issues. The document recommends that nurses use critical thinking and judgment for each unique patient situation. Nurses should also follow the 6 rights of administration, be aware of legal consequences of errors, and work to improve safety systems and reporting.
IMPACTS OF MEDICATION ADMINISTRATION ERROR 1.docxsheronlewthwaite
IMPACTS OF MEDICATION ADMINISTRATION ERROR
1
IMPACTS OF ADMINISTRATIVE ERRORS
5
Impacts of Medication Administration Error on Three to Four years-old Leukemia Patients
Submitted by:
Prospectus
Doctor of Nursing Practice
The Prospectus Overview and Instructions
Prospectus Instructions:
1. Read the entire Prospectus Template to understand the requirements for writing your prospectus. Each section contains a narrative overview of what should be included in the section and a table with the required criteria for each section. WRITE TO THE CRITERIA, as they will be used to assess the prospectus for the overall quality and feasibility of your proposed research study.
2. As you draft each section, delete the narrative instructions and insert your work related to that section. Use the criterion table for each section to ensure that you address the requirements for that particular section. Do not delete/remove the criterion table as this is used by you and your committee to evaluate your prospectus.
3. Prior to submitting your prospectus for review by your chair or methodologist, use the criteria table for each section to complete a realistic self-evaluation, inserting what you believe is your score for each listed criterion into the Learner Self-Evaluation column. This is an exercise in self-evaluation and critical reflection, and to ensure that you completed all sections, addressing all required criteria for that section.
4. The scoring for the criteria ranges from a 0-3, as defined below. Complete a realistic and thoughtful evaluation of your work. Your chair and methodologist will also use the criterion tables to evaluate your work.
5. Your Prospectus should be no longer than 6-10 pages when the tables are deleted.
Score
Assessment
0
Item Not Present
1
Item is Present. Does Not Meet Expectations. Revisions are Required: Not all components are present. Large gaps are present in the components that leave the reader with significant questions. All items scored at one must be addressed by learner peer reviewer comments.
2
Item is Acceptable. Meets Expectations.Some Revisions May Be Required Now or in the Future. The component is present and adequate. Small gaps are present that leaves the reader with questions. Any item scored at two must be addressed by the learner per the reviewer's comments.
3
Item Exceeds Expectations. No Revisions Required. The component is addressed clearly and comprehensively. No gaps are present that leaves the reader with questions. No changes required.
Contents
Introduction
4-5
Background of the Problem
6-7
Problem Statement
8
Purpose of the Study
9
10Research Questions-11
12Advancing Scientific Knowledge and Significance of the Study
14Rationale for Methodology
16Nature of the Research Design for the Study
18Sources of Data
19NOTE: This section elaborates on the Data Collection from the 10 Strategic Points.
19Data Collection
22Data Analys ...
Compliance Issues WorksheetYour Name First and lastYour E-m.docxskevin488
Compliance Issues Worksheet
Your Name: First and last
Your E-mail Address: Your email hereInstructions
Use this worksheet to complete Prompt 6 of the OM002 Assessment.
Scenario
Compliance Issue
Recommended Course of Action
Example:
A patient is discharged without proper instructions for prescribed medication.
Violation of NPSG.03.06.01
Investigate why proper discharge protocols were not utilized.
A recent patient at your hospital contracts Methicillin-resistant Staphylococcus aureus (MRSA). All proper infection-control guidelines were followed.
No violation occurred.
Contact Infection control staff immediately and report the incidence as required.
A phlebotomist does not wash her hands before a blood draw for a post-operative patient.
A patient complains that her hospital identification bracelet is causing a rash. She removes and discards it. The nurse administers medication based on a verbal identification because she recognizes the patient from her previous two shifts.
A patient with no known drug allergies is given a drug. The patient has a reaction to the drug, goes into anaphylactic shock, and dies.
An obese hospital patient requests that an aide help him to the bathroom. The aide requests assistance, but no one is available. The aide escorts the patient alone, and the patient falls.
A nurse in the intensive care unit (ICU) disables an alarm on a machine used to monitor a critically ill patient. When asked about his decision to disable the alarm, he claims the beeping was bothering family members visiting the patient. The patient is treated without incident.
The cleaning staff frequently positions a linen cart so that it blocks access to a fire door in a hospital corridor.
A hospital built in the 1970s does not meet the new fire safety codes.
A blood test indicates an emergency room patient has a serious and highly contagious disease. The blood test results are reported to the attending physician 90 minutes after they are known.
An experienced nurse does not label oral medications for his intensive care unit (ICU) patients because he can identify the medications based on the shape and color of the pills.
A healthy young women checks into the hospital for a minor outpatient procedure. She recognizes the pre-op nurse from her volleyball league. When the nurse asks about what medications she is taking, she withholds that she is taking antidepressants and anti-anxiety medications.
During a pre-procedure verification, an elderly patient with early-stage dementia insists that her left hip will be replaced. Records indicate that her right hip is to be replaced. The operating room (OR) is behind schedule but the surgical team delays the operation to consult with the patient’s family.
A surgeon delegates the marking of the procedure site for an upcoming surgery to a surgical resident.
The operating room (OR) is running almost 2 hours behind schedule. A surgeon has six routine operations. He skips the time-out before th.
Running head FINAL WRITTEN PROPOSAL1FINAL WRITTEN PROPOSAL.docxcharisellington63520
Running head: FINAL WRITTEN PROPOSAL1
FINAL WRITTEN PROPOSAL2
Final Written Proposal
Toni Stewart
Rasmussen College
Author Note
This paper is being submitted on December 6, 2015 for Professor Kerley’s G171/COMM1388 Communicating in Your Profession course.
Problems Faced in the Medical Industries
Executive Summary
It is important for all health care professionals to ensure that due care is provides to them. This requires all qualified medical doctors give patients the time for diagnosis and subsequent treatment. In many health care centers, doctors may be overwhelmed leading to cases where their assistants have to step in and take over their role. In the process, this may compromise the quality of care accorded to the patients and may have significant ramifications legally and otherwise. There are, however, certain measures that can be taken to deal with this problem. One such measure rests on restructuring the system in a manner which the PA’s see them first and do the initial assessment, and then one of the doctors do the final assessment. This might mean cutting down the number of patients seen per day so that the PA’s and Doctors can better focus on taking good care of the ones they do see. This proposal will examine who this system will be implemented in a selected health care center highlighting the benefits that accrue from it.
Purpose
At Family Healthcare Associates, Inc., physicians and their assistants have always been challenged with huge number of patients in their clinics. The aim of this strategy is to reduce the cost of operation for the clinic due to huge medical expenses available in the market today. Senior management needs to adopt a business like strategy to ensure the clinic remain a float and doctors have enough time to focus on each patient per specific period of time (Fattal, 2011).
Problem
The cost of maintaining Family Healthcare Associates, Inc. has been a challenge due to increase in salaries and financial packages. These increases in financial expenditure by the clinic have made it impossible to manage doctor-patient relationship that most clinics have set standards for. These challenges can pose a threat to the health of many patients who require immediate medical attention on time. The Doctors have such a busy schedule that they do not have the personal one on one relationships with any of their patients that they need to have in order to fully know what is going on with their patients.
One of the most common scenarios where patients and doctors experience these challenges happens during emergencies. Doctors have to abandon their current patients in order to attend to more urgent emergencies of another patient (Gropper, 2009). This isn’t always a big problem in small clinics today, but it does happen from time to time. Sometimes doctors can leave the patient unattended for a long time which can cause health care problems for the patient in the future.
Sometimes doctors and other medical sta.
11218, 10(54 AMAnalyze a Current Health Care Problem or Issu.docxdrennanmicah
11/2/18, 10(54 AMAnalyze a Current Health Care Problem or Issue Scoring Guide
Page 1 of 2https://courserooma.capella.edu/bbcswebdav/institution/NHS-FP/NHS-FP4000/180700/Scoring_Guides/a03_scoring_guide.html
Analyze a Current Health Care Problem or Issue Scoring Guide
CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Use scholarly
information to
describe and
explain a health
care problem or
issue and
identify possible
causes for it.
Does not use
scholarly
information to
describe and
explain a health
care problem or
issue and
identify possible
causes for it.
Describes a health
care problem or
issue but does not
explain it, or
identifies possible
causes for a
problem or issues
but the
identification is
incomplete or
inaccurate.
Uses scholarly
information to
describe and
explain a
health care
problem or
issue and
identify
possible
causes for it.
Uses scholarly
information to describe
and explain a health
care problem or issue
and identify possible
causes for it. Indicates
which causes are the
most likely.
Analyze a health
care problem or
issue by
describing the
context,
explaining why it
is important, and
identifying
populations
affected by it.
Does not
analyze a health
care problem or
issue by
describing the
context,
explaining why it
is important, and
identifying
populations
affected by it.
Identifies a health
care problem or
issue but does not
analyze it.
Analyzes a
health care
problem or
issue by
describing the
context,
explaining why
it is important,
and identifying
populations
affected by it.
Analyzes a health care
problem or issue by
describing the context,
explaining why it is
important, and
identifying populations
affected by it. Provides
examples that support
the analysis.
Discuss potential
solutions for a
health care
problem or issue
and describe
what would be
required to
implement a
solution.
Does not
discuss potential
solutions for a
health care
problem or issue
and describe
what would be
required to
implement a
solution.
Incompletely or
inaccurately
discusses potential
solutions for a
health care
problem or issue
and what would be
required to
implement a
solution.
Discusses
potential
solutions for a
health care
problem or
issue and
describes what
would be
required to
implement a
solution.
Discusses potential
solutions for a health
care problem or issue
and describes what
would be required to
implement a solution,
including potential
consequences of
ignoring the problem
or issue.
Analyze the
ethical
implications if a
potential
solution to a
health care
problem or issue
was
Does not
analyze the
ethical
implications if a
potential
solution to a
health care
problem or issue
Identifies ethical
implications if a
potential solution
to a health care
problem or issue
was implemented,
but does not
analyze the
Analyzes the
ethical
implications if a
potential
solution to a
health care
problem or
issue was
Analyzes the ethical
implications if a
potential solution to a
health care problem or
issue was
implemented, usi.
Running head CHALLENGES IN UTILIZATION AND CASE MANAGEMENT IN MAN.docxtodd271
Running head: CHALLENGES IN UTILIZATION AND CASE MANAGEMENT IN MANAGED CARE
1
CHALLENGES IN UTILIZATION AND CASE MANAGEMENT IN MANAGED CARE 3
Challenges in Utilization and Case Management in Managed Care
Leribeth Inoa
2/23/2019
Managed care refers to the practice of managing some aspects of the medical services i.e. the cost and the quality of the medical services. Managed care can be managed by healthcare providers when providing healthcare services. Utilization management refers to the processes or the activities that are involved in the management of care. for example Uutilization management is relied on in terms of managing the cost in the health plan. It also refers to the routine functions which are utilized for the management of the cost of the medical services. Utilization management is entailing aspects such as prospective, concurrent, and the retrospective review. A prospective review is involving the process of tackling the utilization before its occurrence; con-current review is addressing the utilization as it happens; whereas the retrospective review occurs after the fact. Case management, on the other hand, is relied on in delivering substantial savings. In case of management, trained nurses are relying on the nurses to help in the coordinating the aspects of care like rehabilitation, home care, and health education thus helping in the improvement of the outcomes and the reduction of the expenses (Peter, 2019). Comment by Susan Such: I think I know what you are trying to say but you should rework the sentence. You might indicate that “managed care guidelines are adhered to by providers”. The providers don’t actually manage managed care, but they are subject to the rules of it. Comment by Susan Such: I think you could do better with this in terms of explaining the meaning. Comment by Susan Such: Process as you wrote it is singular, activities is plural. When you then have to figure out to use is or are you have an issue. Both have to be either singular or plural. Comment by Susan Such: End of sentence. Begin the next sentence with Utilization management is relied on…… Comment by Susan Such: This pretty much duplicates the previous sentence Comment by Susan Such: Aspects of utilization management are prospective, concurrent, and retrospective review. Comment by Susan Such: Explain with a bit more details. What is being reviewed?? Comment by Susan Such: In case management specially trained nurses rely on the staff nurses to help…… Comment by Susan Such: Comment by Susan Such: Is this the one paragraph introduction? There should be a paragraph that explains what the paper is intending to accomplish or teach, etc. I would say that the paragraph here is explaining your topic. But you don’t have an introduction.
Challenges in Utilization and Case Management in Managed Care
Utilization management is considered to process which have been well thought-out to help in the controlling of the medical serv.
This document discusses how to apply evidence-based dentistry to patients. It notes that evidence-based practice aims to inform clinical decisions, not impose them, by considering factors specific to individual patients. When applying research findings, clinicians must consider if statistical significance translates to clinical significance for patients, if study populations match their patient, and if treatment settings can be replicated. The patient's preferences, resources, and social factors must also influence treatment decisions.
CUR 540 Week Five Individual Assignment RubricPointsPo.docxannettsparrow
CUR 540 Week Five Individual Assignment Rubric
Points
Possible
Points
Earned
Comments:
All key elements of the assignment are covered in a substantive way.
· Identified three possible areas in which growth may be warranted.
· Justified selections.
· Wrote two SMART goals and one goal using one other goal-setting strategy that you discovered for each targeted area.
0.75
0.75
3
0.25
0.25
The exam followed APA guidelines for format [included a Title Page and reference page (if applicable)].
Rules of grammar, usage, and punctuation are followed & Spelling is correct.
Points
Possible:
5
Points
Earned:
Dr. Gina Stafford
University of Phoenix Faculty [email protected]
Patient Education Scoring Guide
CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Explain the
appropriate use of a
medication.
Does not explain the
appropriate use of a
medication.
Explains the use of
a medication, but
the explanation is
inaccurate or not
appropriate for the
medication.
Explains the
appropriate use of a
medication.
Explains the appropriate
use of a medication and
the importance of
following the instructions
in terms of quality patient
outcomes.
Identify specific
factors that may
affect the efficacy of
a medication.
Does not identify
specific factors that
may affect the
efficacy of a
medication.
Lists factors that
may affect a
medication, but the
list is incomplete or
does not relate to
the efficacy of the
medication.
Identifies specific
factors that may
affect the efficacy of
a medication.
Explains how specific
factors may affect the
efficacy of a medication.
Describe possible
chemical reactions,
side effects, or other
negative reactions a
patient may
experience from a
medication.
Does not describe
possible chemical
reactions, side
effects, or other
negative reactions a
patient may
experience from a
medication.
Lists possible
chemical reactions,
side effects, or other
negative reactions a
patient may
experience from a
medication.
Describes possible
chemical reactions,
side effects, or other
negative reactions a
patient may
experience from a
medication.
Describes possible
chemical reactions, side
effects, or other negative
reactions a patient may
experience from a
medication and explains
the actions a patient
should take.
Explain correct
handling, storage,
and disposal of a
medication.
Does not explain
correct handling,
storage, and disposal
of a medication.
Explains handling,
storage, and
disposal of a
medication, but the
explanation is
inaccurate or
incomplete.
Explains correct
handling, storage,
and disposal of a
medication.
Explains correct handling,
storage, and disposal of a
medication and includes a
brief rationale of why
these instructions are
important.
Explain how a
patient education
tool promotes
patient safety
related to
pharmacology.
Does not explain how
a patient education
tool promotes p.
This document discusses medication administration by nurses and reasons for medication errors. It notes that 40-60% of a nurse's time is spent on medication administration. Medication errors can occur due to failure to follow safe administration procedures, complexity of drugs, high patient loads, lack of knowledge, and other system issues. The document recommends that nurses use critical thinking and judgment for each unique patient situation. Nurses should also follow the 6 rights of administration, be aware of legal consequences of errors, and work to improve safety systems and reporting.
1. The document discusses critical thinking and the nursing process, which involves collecting patient data, developing nursing diagnoses, planning care, implementing interventions, and evaluating outcomes.
2. Critical thinking requires identifying patient problems, making care decisions, and prioritizing needs based on principles of nursing process and scientific reasoning.
3. The nursing process framework establishes a standard of care that respects patient dignity and autonomy while meeting basic health needs.
The document discusses the importance of evaluating mental health professionals through regular professional evaluations. These evaluations help identify areas for improvement, discuss difficult practices, and establish support to prevent burnout. Clinical supervisors are responsible for assessing supervisees to identify issues that need attention in order to further develop their quality of care.
Scheduling Of Nursing Staff in Hospitals - A Case Studyinventionjournals
This document summarizes a study that developed a goal programming algorithm to schedule 11 nurses across a two-week period at a hospital. The goals were to satisfy each nurse's contracted time, ensure minimum nurse requirements by role each day, give full-time nurses a weekend off while avoiding more than two consecutive days off, and honor nurses' weekend preference when possible. The algorithm solved the 154-variable, 120-constraint scheduling problem in under 30 seconds. The results showed schedules that met goals for minimum nurse levels each day and individual nurses' two-week schedules.
This assignment will be uploaded automatically to Turnitin upon suGrazynaBroyles24
This assignment will be uploaded automatically to Turnitin upon submission to verify this is your original work and no parts were copied from another student.
Turnitin is now more closely integrated with Canvas. Overall, you will find Turnitin assignments easier to use, but the steps to submit an assignment have changed somewhat. Directions are as follows:
1. Click the orange “Submit Assignment” button at the top of the page to open the upload window.
2. Click on “Choose File” to select your assignment file you want to upload.
3. Check the box to agree to the Turnitin End-User License Agreement.
4. Click “Submit Assignment.”
5. Your Turnitin report will be visible in the “Grades” section of your course.
Please refer to the pages below for more information about these changes.
• Turnitin Submitting a Paper (Links to an external site.) explains how to submit a file.
• Turnitin Assignment Student View (Links to an external site.) lets you submit a paper, then view feedback on the file you have submitted.
• Turnitin Viewing Instructor Feedback (Links to an external site.) helps you view your instructor feedback.
DIRECTIONS
· Do not stereotype a cultural/ethnic group. Stereotyping will result in point deduction. See rubric.
Below are my chosen topics:
Approved specific/ethnic population _____ Hispanic/Latinos- population
Approved health problem ___ New cases of diagnosed diabetes in the population
· Address the questions on the provided template:
· Description of Issue, Indicator, and Focus
· Describe approved transcultural nursing issue from Course Project
· Describe approved Healthy People 2030 Leading Health Indicator
· Describe approved cultural focus
· References with Permalink
· Provide APA references for two peer-reviewed scholarly professional journal articles related to your nursing issue, cultural focus and/or health indicator.
· Articles must be published within the last five (5) years. If you are unsure whether the article is appropriate, ask your instructor.
· Include the permalink to the article.
· For more information on finding Permalinks in the Chamberlain Library, see Learn the Library and Finding Permalinks (Links to an external site.).
· Summary
· Summarize the key points from each peer-reviewed scholarly professional nursing journal articles selected in one or two paragraphs. Be clear and concise.
· Educational Plan
· Imagine you are educating a group of fellow nurses.
· Clearly describe what key points would you share with them?
· What would you suggest as best practices?
· What ethical issues or conflict of care could potentially exist?
· Please reach out to your instructor with any questions or concerns.
Template
Week 4: Course Project Part 2 Template(Download here) (Links to an external site.)
Best Practices
· Please use your browser's File setting to save or print this page.
· Use the template provided. If the template is not used, a deduction will be applied. See rubric below.
· Spell check for spelling a ...
· Psychiatric Mental Health Nursing. Scope and Standards of Practi.docxoswald1horne84988
· Psychiatric Mental Health Nursing. Scope and Standards of Practice.
Review the Scope and Standards of Practice from APNA (American Psychiatric Nurses Association). If you are an APNA member you can access the book free of charge. The link in this section will link you to the book but you will have to log in. It is a good idea to join APNA. You can also buy a print copy if you desire; it is inexpensive. The book is not a required reading. I have provided the standards here.
The standards are taken directly from APNA Scope and Standards of Practice 2ndedition (2014).
Assignment for this module:
Take each Standard and give several examples of how you will follow these standards in your practice. Please, only list just a few bullet points to address each standard. Ex: Standard 1: Assessment—what screening tools will you use? Will you meet with the pt and family together or separate or both? How much time will you allow for a new patient eval?
As a NP will need to know your scope of practice. You cannot rely on someone else to know your scope.
Standard 1: Assessment
· Collect and synthesize comprehensive health data that are pertinent to the healthcare consumer’s health and/or situation.
Standard 2: Diagnosis
· Develop standard psychiatric and substance use diagnoses
Standard 3: Outcomes Identification
· Identify expected outcomes and the healthcare consumer’s goals for a plan individualized to the healthcare consumer or to the situation.
Standard 4: Planning
· Develop a plan that prescribes strategies and alternatives to assist the healthcare consumer in attainment of expected outcomes.
Standard 5: Implementation
· Implement the identified plan
· Coordinate care delivery
· Employ strategies to promote health and a safe environment
· Provide consultation to influence the identified plan, enhance the abilities of other clinicians to provide services for the healthcare consumers, and effect change.
· Use prescriptive authority, procedures, referrals, treatments and therapies in accordance with state and federal laws and regulations.
· Incorporate knowledge of pharmacological, biological, and complementary interventions with applied clinical skills to restore the healthcare consumer’s health and prevent further disability
· Provide structures and maintains a safe, therapeutic, recovery-oriented environment in collaboration with healthcare consumers, families and other healthcare clinicians.
· Use the therapeutic relationship and counseling interventions to assist healthcare consumers in their individual recovery journeys by improving and regaining their previous coping abilities, fostering mental health, and preventing mental disorder and disability
· Conducts individual, couples, group, and family psychotherapy using evidence based psychotherapeutic frameworks and the nurse-client therapeutic relationship
Standard 6: Evaluation
· Evaluate progress toward attainment of expected outcomes
Standard 7: Ethics
· Integrate ethical provisions in all .
Running head PROPOSAL ROUGH DRAFT1PROPOSAL ROUGH DRAFT2.docxcharisellington63520
Running head: PROPOSAL ROUGH DRAFT1
PROPOSAL ROUGH DRAFT2
Proposal Rough Draft
Toni Stewart
Rasmussen College
Author Note
This paper is being submitted on November 22, 2015 2015 for Professor Kerley’s G171/COMM1388 Communicating in Your Profession course.
Problems Faced in the Medical Industries
Executive Summary
It is important for all health care professionals to ensure that due care is provides to them. This requires all qualified medical doctors give patients the time for diagnosis and subsequent treatment. In many health care centers, doctors may be overwhelmed leading to cases where their assistants have to step in and take over their role. In the process, this may compromise the quality of care accorded to the patients and may have significant ramifications legally and otherwise. There are, however, certain measures that can be taken to deal with this problem. One such measure rests on restructuring the system in a manner which the PA’s see them first and do the initial assessment, and then one of the doctors do the final assessment. This might mean cutting down the number of patients seen per day so that the PA’s and Doctors can better focus on taking good care of the ones they do see. This proposal will examine who this system will be implemented in a selected health care center highlighting the benefits that accrue from it.
Purpose
At Family Healthcare Associates, Inc. Physicians and their assistants have always been challenged with huge number of patients in their clinics. The aim of this strategy is to reduce the cost of operation for the clinic due to huge medical expenses available in the market today. Senior management needs to adopt a business like strategy to ensure the clinic remain a float and doctors have enough time to focus on each patient per specific period of time (Fattal, 2011).
Problem
The cost of maintaining Family Healthcare Associates, Inc. has also been a challenge due to increase in salaries and financial packages. These increases in financial expenditure by the clinic have made it impossible to manage doctor-patient relationship that most clinics have set standards for. These challenges can pose a threat to the health of many patients who require immediate medical attention on time. The Doctors have such a busy schedule that they do not have the personal one on one relationships with any of their patients that they need to have in order to fully know what is going on with their patients.
One of the most common scenarios where patients and doctors experience these challenges happens during emergencies. Doctors have to abandon their current patients in order to attend to more urgent emergencies of another patient (Gropper, 2009). This isn’t always a big problem in small clinics today, but it does happen from time to time. Sometimes doctors can leave the patient unattended for a long time which can cause health care problems for the patient in the future.
Sometimes doctors and other medica.
Medication errors are a significant problem in healthcare that can harm patients. They occur commonly at various stages of the medication process including prescribing, transcribing, preparing, dispensing, and administering medications. Several studies over decades have found high rates of medication errors and preventable adverse drug events in hospitals. James Reason developed a widely used model for classifying errors as either active failures by frontline staff or latent failures due to upstream organizational or management issues. Understanding the causes of errors through models like Reason's can help pharmacists and other healthcare providers develop effective strategies to improve medication safety.
Point Value Descriptive TitlePurpose and Analytical .docxLeilaniPoolsy
Point Value Descriptive Title
Purpose and
Analytical
Technique(s)
Summary of Results
Summary of
Conclusions
Error Analysis
Professional
Presentation
2
Title is complete and
informative, and written
in a scientific tone
A general purpose and
all relevant analytical
techniques are given
using the correct
scientific terminology
All major numerical
results are given with
correct units and
significant figures - All
important descriptive
results are given with
appropriate context
Conclusions are made
based on the results, any
accepted values are
given for comparison,
and percent error values
are provided
Errors are given,
followed through the
calculations, and the
effect on the result is
explained - Errors are
used to explain
deviations from the
expected results
Abstract is typed, proof
read, and printed on an
appropriate medium
1
Title is informative and
appropriate, yet is
somewhat incomplete,
contains errors, or is
written in an unscientific
tone
Purpose or techniques
are partially incomplete
or use layman's terms
Result section is mostly
complete, but some
relevant results are
omitted, or incorrect
units or significant
figures are used
Conclusion section is
mostly complete, but
some relevant
conclusions are omitted
Errors are given, but not
followed through the
calculations, or not used
to explain results
Abstract contains several
errors, or has
handwritten edits
0
Title is absent, or neither
informative nor
appropriate
Section is absent or not
relevant to the
experiment
Section is absent, less
than half complete, or
not relevant to the
experiment
Section is absent, less
than half complete, or
not relevant to the
experiment
Section is absent or not
relevant to the
experiment
Abstract is handwritten,
contains numerous
errors, or otherwise
unacceptably presented
Rubric for a Scientific Abstract
In general, abstracts will be graded on the six criteria below (column headings), worth two points each.
The resulting points out of 12 will be converted to a gradebook score out of five.
Score = (
5
/12 ) × Points
Some rules for it:
1. Font size 12, times new roman style.
2. 600 words
About Abstracts:
An abstract is a brief, written summary of the specific idea or concepts to be presented, and a statement of their relevance to practice or research.
This is one type to write abstracts:
Research abstracts: include a brief description of the author’s original objective or hypothesis research methodology, including design, participant characteristics and procedures, major findings, and conclusions or implications for dietetics.
All words should write by yourself, no quote from any website or paper.
Please check abstract grading rubric for get higher grade. Thanks.
PRACTICE APPLICATIONS
Business of Dietetics
Hospital-Acquired Conditions: Knowing, Preventing,
and Treating .
1.Focused Reflection (30 points) Objective To reflect.docxcarlstromcurtis
1.
Focused Reflection (30 points)
Objective: To reflect on the interprofessional roles (MD, SW, OT, PT, RT, RD, PharmD) you saw on the unit and describe communication between them and the nurse.
· List all of the different providers that were involved in your patient’s care. What was the focus of each of these providers in the patient’s care? What was your nursing focus in the patient’s care? Be specific and give examples.
· How did you or the nurse communicate with each different provider? How did each provider communicate with the nurse? Be specific and give examples.
· What did you see done well and what would you improve? What would you specifically do to improve it?
The reflection should be 2-3 pages, but not longer than 3 pages. Use Times New Roman 12 point font, 1 inch margins, and double spacing to format your paper. The reflection does not need a title page or references. See syllabus for late assignment point deductions.
Focused Reflection rubric
0
3
Length and Mechanics
Does not meet page requirement.
One formatting error. Multiple spelling/grammar errors. Point is not understandable.
3 pages typed.
Double spaced.
TNR 12 pt font.
1 inch margins.
Minor spelling/ grammar errors, but point is understandable
0
3
5
7
9
Listed providers and their focus vs. nursing focus. Was specific and gave examples.
Does not address.
Needs improvement.
Mostly complete.
Above average.
Completely addresses.
0
3
5
7
9
Described nurse to provider and provider to nurse communication. Was specific and gave examples.
Does not address.
Needs improvement.
Mostly complete.
Above average.
Completely addresses.
Described what was done well and what to improve. Gave specific suggestions on their improvements.
Does not address.
Needs improvement.
Mostly complete.
Above average.
Completely addresses.
Clinical Check-Offs
1.
Medication Administration Check-off
STUDENTS CAN ONLY ADMINISTER MEDICATIONS WITH THE CLINICAL INSTRUCTOR. This includes the administration of any kind of medication by any route. Medications cannot be administered with a staff nurse. Failure to follow this rule will result in failure of the check-off, immediate dismissal from the clinical site and inability to pass NM 322.
The clinical instructor will give medications with two students per day. Students must pass the medication check-off by the end of the semester.
2.
Clinical Performance Evaluation
The Clinical Performance Evaluation will be reviewed with the student as needed, at mid-semester and at the end of the semester. Failure to satisfactorily meet core competencies on the Clinical Performance Evaluation can result in being sent home from the clinical site, an academic alert, a corrective action plan and/or dismissal from the nursing program.
Please review the Student Laboratory and Clinical Handbook, especially the sections entitled “Standards for Studen.
1Running Head A CLINICAL ISSUEA Clinical Issue.docxjesusamckone
1
Running Head: A CLINICAL ISSUE
A Clinical Issue
Nursing Errors
Roberto J Silva
Evidence-Based Practice
Walden University
March 15, 2020
Perfection is not in humans, but at times we commit errors in areas that we should not. Such an environment is a medical setting because we deal with human life, which is very precious and once lost, cannot be recovered. Therefore, I based my clinical issue on a question on why there are errors in the medical field. I found this clinical issue to work hand in hand with the question of what are the adverse effects suffered by patients who are victimized of these nursing errors. How is the severity of the impact experienced by each patient when they bear errors that, as a result of medical officers, in this case, nurses? These articles observed research ethics because they were based on a practical environment, and all participants used for research were aware of the research being conducted.
These articles have different objectives, but all of them are concentrated in errors that are manifested in a medical setting by patients due to a nurse's faults of efficiency. The first article, in this case, is based on errors that are committed by nurses in cases of outpatient. The article associates these errors to technological shortcomings, which are as a result of a new method of prescribing outpatient (Matthew E. Hirschtritt, Steven Chan, Wilson O. Ly, Pharm). The second research article uses a more general approach whereby it assesses the general reasons why nurses find themselves committing errors while issuing medication to patients. This research article covers the reasons why these errors are manifested on a regular basis (Midwifery Journal, 2018).
The third article that I used for my paper was based on the frequency and severing of adverse effects suffered by patients for a case of nursing errors. To serve the purpose, the article is based on patients who exhibit old age demographic factors (Risk Management Health Policy, 2013). From the fourth research article that I used to assess my clinical issue in question, it was more related to the other three articles. It is also based on the reason for errors that are manifested in a psychiatric setting. In particle, the article focuses on the type and the nature of errors that are prevalent in the psychiatric setting (International Journal for Quality in Health Care, 2010).
Each of these research articles uses different methods to mine data and factual information about errors that are prevalent in the medical setting. They range from qualitative methods, quantitative methods, and others are based on mixed methods. The first article that I used for my clinical issue is based on a theoretical approach hence qualitative methodology. The article has an in-depth theoretical explanation of these errors from nurses. The second article is based on a quantitative methodology. Figures collected from participants are analyzed using ANOVA and chi-square tests. The .
1Running Head A CLINICAL ISSUEA Clinical Issue.docxaulasnilda
1
Running Head: A CLINICAL ISSUE
A Clinical Issue
Nursing Errors
Roberto J Silva
Evidence-Based Practice
Walden University
March 15, 2020
Perfection is not in humans, but at times we commit errors in areas that we should not. Such an environment is a medical setting because we deal with human life, which is very precious and once lost, cannot be recovered. Therefore, I based my clinical issue on a question on why there are errors in the medical field. I found this clinical issue to work hand in hand with the question of what are the adverse effects suffered by patients who are victimized of these nursing errors. How is the severity of the impact experienced by each patient when they bear errors that, as a result of medical officers, in this case, nurses? These articles observed research ethics because they were based on a practical environment, and all participants used for research were aware of the research being conducted.
These articles have different objectives, but all of them are concentrated in errors that are manifested in a medical setting by patients due to a nurse's faults of efficiency. The first article, in this case, is based on errors that are committed by nurses in cases of outpatient. The article associates these errors to technological shortcomings, which are as a result of a new method of prescribing outpatient (Matthew E. Hirschtritt, Steven Chan, Wilson O. Ly, Pharm). The second research article uses a more general approach whereby it assesses the general reasons why nurses find themselves committing errors while issuing medication to patients. This research article covers the reasons why these errors are manifested on a regular basis (Midwifery Journal, 2018).
The third article that I used for my paper was based on the frequency and severing of adverse effects suffered by patients for a case of nursing errors. To serve the purpose, the article is based on patients who exhibit old age demographic factors (Risk Management Health Policy, 2013). From the fourth research article that I used to assess my clinical issue in question, it was more related to the other three articles. It is also based on the reason for errors that are manifested in a psychiatric setting. In particle, the article focuses on the type and the nature of errors that are prevalent in the psychiatric setting (International Journal for Quality in Health Care, 2010).
Each of these research articles uses different methods to mine data and factual information about errors that are prevalent in the medical setting. They range from qualitative methods, quantitative methods, and others are based on mixed methods. The first article that I used for my clinical issue is based on a theoretical approach hence qualitative methodology. The article has an in-depth theoretical explanation of these errors from nurses. The second article is based on a quantitative methodology. Figures collected from participants are analyzed using ANOVA and chi-square tests. The ...
PUT YOUR HEADER HERE IN ALL CAPSvReducing th.docxwoodruffeloisa
This document is a research proposal submitted for a nursing capstone course. It aims to reduce hospital readmissions by analyzing causes of readmissions and developing interventions. The literature review found that readmissions are increasing, resulting in hospital penalties. Effective interventions include providing discharge education and follow-up care after discharge. The proposal will develop a plan to implement these strategies and evaluate their effectiveness in reducing readmissions.
Week 2 The Clinical Question77 unread replies.2525 replies..docxcockekeshia
Week 2: The Clinical Question
77 unread replies.2525 replies.
Your capstone change project begins this week when you identify a practice issue that you believe needs to change. The practice issue must pertain to a systematic review that you must choose from a List of Approved Systematic Reviews (Links to an external site.)Links to an external site. for the capstone project.
· Choose a systematic review from the list of approved reviews based on your interests or your practice situation.
· Formulate a significant clinical question related to the topic of the systematic review that will be the basis for your capstone change project.
· Relate how you developed the question.
· Describe the importance of this question to your clinical practice previously, currently, or in the future.
· Describe what a research-practice gap is.
· Collapse Subdiscussion
Julie White
Julie White
SundayOct 29 at 9:39am
Manage Discussion Entry
Opening Post_Julie
On a daily basis, healthcare providers are faced with an array of clinical decisions to be made in an efficient and timely manner. Translating evidence into best practices is one way to achieve this. Without current best evidence, practice is rapidly outdated, often to the detriment of the patient. Evidence based practice is the conscientious use of current best practice in making decisions about patient care (Sackett, Richardson, Rosenberg, & Hayes, 2000). It is important for health care professionals to ask questions about their current clinical practice. In this week’s threaded discussion you will ask that burning question that you ask in your daily care of your patients.
You’ll need to focus on asking the right questions, narrowing the questions to one that is nurse driven and the need for change is evident. The question that you formulate will be the question for your Capstone Project.
The process of reviewing scholarly articles for a change in practice is an important part of the development of any type of research project that can lead to a change in practice. As you are appraising the systematic review and other scholarly articles for your change project, think about areas of the article such as sample size, the population, type of study, discussion and limitations. Critiquing a research article will allow you to evaluate the scientific merit of the study and decide how the results may be useful in practice.
ReplyReply to Comment
·
Collapse Subdiscussion
Adele Allen
Adele Allen
SundayOct 29 at 12:58pm
Manage Discussion Entry
Hello Professor and Classmates,
Nurses are called to rely on current research to guide evidence-based practice. The research on a topic can be vast and contradictory. Traditional reviews of the evidence are no longer appropriate. The information sifting called for with the wealth of information available is too great a task. The reviewer needs guidelines to ensure bias is minimized and th.
comprehensive health screening and history on a young adult.docxwrite22
This document provides instructions for completing a comprehensive health screening and history on a young adult client. Students are to select a client, complete a health history worksheet, and develop three nursing diagnoses based on the client's health history and screening. The nursing diagnoses should include an actual diagnosis, a wellness diagnosis, and a risk-for diagnosis, with rationale provided for each. Students are evaluated based on thoroughly addressing all components of the health history, appropriately using medical terminology and abbreviations, demonstrating understanding of the human experience across the health-illness continuum, and accurately documenting cited sources.
Healthcare A diagram of the clinical or workflow process.pdfstirlingvwriters
The document discusses a quality management plan for Brigham and Women's Hospital, which specializes in women's health issues like cancer treatment. It analyzes the hospital's environment and conducts a SWOT analysis. The primary weakness identified is the hospital's management, which struggles to resolve issues between medical staff, risking reduced quality of patient care. The plan suggests the hospital implement ways to better manage internal conflicts to address this weakness.
Instructor Feedback
Assignment 2 Grading Criteria
Maximum Points
Earned
Points
Background and Significance Section articulates the problem and need for the proposed innovation.
5
5 – NP
Statement of the Problem and Purpose of the Study is appropriate and supported with evidence.
5
5
Research question
5
5
Research Hypothesis and Null Hypothesisare appropriate for research question.
15
10 – your research hypothesis is ok but you do not have a null – it should show no relationship between the same variables
Variables are Operationally Defined.
15
0 – you have talked about your data collection methods but have not provided any variable definitions
How are you defining – Patient satisfaction, improvement in health status, cost containment, availability of medical care
Followed APA guidelines for writing style, spelling and grammar, and citation of sources.
5
2 – page 3 had two different font types (look at the in text citation) spelling error – (can) – null hypothesis section – need a conclusion to your paper
Total:
50
27
Week 3 Research Proposal Draft
Elizabeth Flores
South University
Running head: WEEK 3 RESEARCH PROPOSAL DRAFT 1
WEEK 3 RESEARCH PROPOSAL DRAFT 2
Week 3 Research Proposal Draft
People will often judge others not just on the answer that is provided but also the question that is asked. Since we can't always get the answer right, we should try to at least get the question right! So in this humbled researcher’s opinion, the most relevant question for a nurse practitioner is very important. The question is: how can we elevate the level of health care in the United States and potentially the entire world while containing costs and effectively supply the voracious and ever growing need for compassionate, competent, and effective health care workers. This should also be accomplished as we fill the need for elevating the suboptimal work conditions, addressing the lack of respect, increasing the sub optimal remuneration, that advanced nurse practitioners are forced to endure on a daily basis.
The problem: Nurse practitioner are often bright, motivated, and talented individuals who are patient and just wanted to help the infirmed while making a career for themselves, which is barely possible in "todays climate".
The cause: Bright students are often pigeoned hole out of having the opportunity to attend medical schools by an antiquated and unfair school system in the United States. This system unfortunately often weeds out very talented and passionate individuals. I believe that schools from the very early ages are teaching many outdated concepts and use very tricky, sneaky, and unfair testing practices and questions. These schools waste a lot of time teaching out dated concepts and facts. Our world and has change so much yet schooling is locked into teaching many of the same concepts it did a hundred years ago while often ignoring more important concepts such health and cancer related topics.
Nearly 50% of patients in U.S. hospitals experience some form of harm during their stay, costing the economy $17.1 billion per year. The article proposes three simple rules that hospitals can adopt to reduce patient harm and improve safety: 1) Treat all patients and staff with respect to overcome a poor safety culture, 2) Develop a preoccupation with potential failures in order to prevent them, and 3) Ensure an open and transparent culture where staff are comfortable reporting errors without fear of reprisal. Following these three rules can help transform hospitals into high reliability organizations with improved patient safety.
in addition to these questions also answer the following;Answer .docxcharisellington63520
in addition to these questions also answer the following;
Answer the Stop and Consider question on page 319.
Differentiate neurologic and hormonal response to stress
Answer all questions in a Word Document and include the following:
Your name
Label each answer
Include references
Include In-text citations
Use APA Format
.
In an environment of compliancy laws, regulations, and standards, in.docxcharisellington63520
In an environment of compliancy laws, regulations, and standards, information technology (IT) departments in organizations must develop comprehensive organizational policies to support compliance. One specific area in which they must develop policies is the governance of fiduciary responsibility. Scenario: As changes occur in compliancy laws, regulations, and standards regularly, IT management of YieldMore has decided to evaluate the governance of fiduciary responsibility within the organization as it pertains to the IT department. Your team has been assigned the task of evaluating how the governance of fiduciary responsibility affects the organization’s risk. Tasks: You are asked to identify the relationship between fiduciary responsibility and organizational risk, and present this information to the IT management of YieldMore.
1. Identify key stakeholders, their roles and responsibilities, and the impact of fiduciary responsibility on each.
2. Determine the relationships among these stakeholders, the relationship between fiduciary responsibility, and organizational risk for each.
3. Distinguish the identified relationships as they relate to strategic, operational, and compliancy goals for the organization.
4. Develop an appropriate plan to govern fiduciary responsibility for the organization.
5. Prepare a report of your findings for IT management to review.
.
More Related Content
Similar to IMPACTS OF MEDICATION ADMINISTRATION ERROR 1.docx
1. The document discusses critical thinking and the nursing process, which involves collecting patient data, developing nursing diagnoses, planning care, implementing interventions, and evaluating outcomes.
2. Critical thinking requires identifying patient problems, making care decisions, and prioritizing needs based on principles of nursing process and scientific reasoning.
3. The nursing process framework establishes a standard of care that respects patient dignity and autonomy while meeting basic health needs.
The document discusses the importance of evaluating mental health professionals through regular professional evaluations. These evaluations help identify areas for improvement, discuss difficult practices, and establish support to prevent burnout. Clinical supervisors are responsible for assessing supervisees to identify issues that need attention in order to further develop their quality of care.
Scheduling Of Nursing Staff in Hospitals - A Case Studyinventionjournals
This document summarizes a study that developed a goal programming algorithm to schedule 11 nurses across a two-week period at a hospital. The goals were to satisfy each nurse's contracted time, ensure minimum nurse requirements by role each day, give full-time nurses a weekend off while avoiding more than two consecutive days off, and honor nurses' weekend preference when possible. The algorithm solved the 154-variable, 120-constraint scheduling problem in under 30 seconds. The results showed schedules that met goals for minimum nurse levels each day and individual nurses' two-week schedules.
This assignment will be uploaded automatically to Turnitin upon suGrazynaBroyles24
This assignment will be uploaded automatically to Turnitin upon submission to verify this is your original work and no parts were copied from another student.
Turnitin is now more closely integrated with Canvas. Overall, you will find Turnitin assignments easier to use, but the steps to submit an assignment have changed somewhat. Directions are as follows:
1. Click the orange “Submit Assignment” button at the top of the page to open the upload window.
2. Click on “Choose File” to select your assignment file you want to upload.
3. Check the box to agree to the Turnitin End-User License Agreement.
4. Click “Submit Assignment.”
5. Your Turnitin report will be visible in the “Grades” section of your course.
Please refer to the pages below for more information about these changes.
• Turnitin Submitting a Paper (Links to an external site.) explains how to submit a file.
• Turnitin Assignment Student View (Links to an external site.) lets you submit a paper, then view feedback on the file you have submitted.
• Turnitin Viewing Instructor Feedback (Links to an external site.) helps you view your instructor feedback.
DIRECTIONS
· Do not stereotype a cultural/ethnic group. Stereotyping will result in point deduction. See rubric.
Below are my chosen topics:
Approved specific/ethnic population _____ Hispanic/Latinos- population
Approved health problem ___ New cases of diagnosed diabetes in the population
· Address the questions on the provided template:
· Description of Issue, Indicator, and Focus
· Describe approved transcultural nursing issue from Course Project
· Describe approved Healthy People 2030 Leading Health Indicator
· Describe approved cultural focus
· References with Permalink
· Provide APA references for two peer-reviewed scholarly professional journal articles related to your nursing issue, cultural focus and/or health indicator.
· Articles must be published within the last five (5) years. If you are unsure whether the article is appropriate, ask your instructor.
· Include the permalink to the article.
· For more information on finding Permalinks in the Chamberlain Library, see Learn the Library and Finding Permalinks (Links to an external site.).
· Summary
· Summarize the key points from each peer-reviewed scholarly professional nursing journal articles selected in one or two paragraphs. Be clear and concise.
· Educational Plan
· Imagine you are educating a group of fellow nurses.
· Clearly describe what key points would you share with them?
· What would you suggest as best practices?
· What ethical issues or conflict of care could potentially exist?
· Please reach out to your instructor with any questions or concerns.
Template
Week 4: Course Project Part 2 Template(Download here) (Links to an external site.)
Best Practices
· Please use your browser's File setting to save or print this page.
· Use the template provided. If the template is not used, a deduction will be applied. See rubric below.
· Spell check for spelling a ...
· Psychiatric Mental Health Nursing. Scope and Standards of Practi.docxoswald1horne84988
· Psychiatric Mental Health Nursing. Scope and Standards of Practice.
Review the Scope and Standards of Practice from APNA (American Psychiatric Nurses Association). If you are an APNA member you can access the book free of charge. The link in this section will link you to the book but you will have to log in. It is a good idea to join APNA. You can also buy a print copy if you desire; it is inexpensive. The book is not a required reading. I have provided the standards here.
The standards are taken directly from APNA Scope and Standards of Practice 2ndedition (2014).
Assignment for this module:
Take each Standard and give several examples of how you will follow these standards in your practice. Please, only list just a few bullet points to address each standard. Ex: Standard 1: Assessment—what screening tools will you use? Will you meet with the pt and family together or separate or both? How much time will you allow for a new patient eval?
As a NP will need to know your scope of practice. You cannot rely on someone else to know your scope.
Standard 1: Assessment
· Collect and synthesize comprehensive health data that are pertinent to the healthcare consumer’s health and/or situation.
Standard 2: Diagnosis
· Develop standard psychiatric and substance use diagnoses
Standard 3: Outcomes Identification
· Identify expected outcomes and the healthcare consumer’s goals for a plan individualized to the healthcare consumer or to the situation.
Standard 4: Planning
· Develop a plan that prescribes strategies and alternatives to assist the healthcare consumer in attainment of expected outcomes.
Standard 5: Implementation
· Implement the identified plan
· Coordinate care delivery
· Employ strategies to promote health and a safe environment
· Provide consultation to influence the identified plan, enhance the abilities of other clinicians to provide services for the healthcare consumers, and effect change.
· Use prescriptive authority, procedures, referrals, treatments and therapies in accordance with state and federal laws and regulations.
· Incorporate knowledge of pharmacological, biological, and complementary interventions with applied clinical skills to restore the healthcare consumer’s health and prevent further disability
· Provide structures and maintains a safe, therapeutic, recovery-oriented environment in collaboration with healthcare consumers, families and other healthcare clinicians.
· Use the therapeutic relationship and counseling interventions to assist healthcare consumers in their individual recovery journeys by improving and regaining their previous coping abilities, fostering mental health, and preventing mental disorder and disability
· Conducts individual, couples, group, and family psychotherapy using evidence based psychotherapeutic frameworks and the nurse-client therapeutic relationship
Standard 6: Evaluation
· Evaluate progress toward attainment of expected outcomes
Standard 7: Ethics
· Integrate ethical provisions in all .
Running head PROPOSAL ROUGH DRAFT1PROPOSAL ROUGH DRAFT2.docxcharisellington63520
Running head: PROPOSAL ROUGH DRAFT1
PROPOSAL ROUGH DRAFT2
Proposal Rough Draft
Toni Stewart
Rasmussen College
Author Note
This paper is being submitted on November 22, 2015 2015 for Professor Kerley’s G171/COMM1388 Communicating in Your Profession course.
Problems Faced in the Medical Industries
Executive Summary
It is important for all health care professionals to ensure that due care is provides to them. This requires all qualified medical doctors give patients the time for diagnosis and subsequent treatment. In many health care centers, doctors may be overwhelmed leading to cases where their assistants have to step in and take over their role. In the process, this may compromise the quality of care accorded to the patients and may have significant ramifications legally and otherwise. There are, however, certain measures that can be taken to deal with this problem. One such measure rests on restructuring the system in a manner which the PA’s see them first and do the initial assessment, and then one of the doctors do the final assessment. This might mean cutting down the number of patients seen per day so that the PA’s and Doctors can better focus on taking good care of the ones they do see. This proposal will examine who this system will be implemented in a selected health care center highlighting the benefits that accrue from it.
Purpose
At Family Healthcare Associates, Inc. Physicians and their assistants have always been challenged with huge number of patients in their clinics. The aim of this strategy is to reduce the cost of operation for the clinic due to huge medical expenses available in the market today. Senior management needs to adopt a business like strategy to ensure the clinic remain a float and doctors have enough time to focus on each patient per specific period of time (Fattal, 2011).
Problem
The cost of maintaining Family Healthcare Associates, Inc. has also been a challenge due to increase in salaries and financial packages. These increases in financial expenditure by the clinic have made it impossible to manage doctor-patient relationship that most clinics have set standards for. These challenges can pose a threat to the health of many patients who require immediate medical attention on time. The Doctors have such a busy schedule that they do not have the personal one on one relationships with any of their patients that they need to have in order to fully know what is going on with their patients.
One of the most common scenarios where patients and doctors experience these challenges happens during emergencies. Doctors have to abandon their current patients in order to attend to more urgent emergencies of another patient (Gropper, 2009). This isn’t always a big problem in small clinics today, but it does happen from time to time. Sometimes doctors can leave the patient unattended for a long time which can cause health care problems for the patient in the future.
Sometimes doctors and other medica.
Medication errors are a significant problem in healthcare that can harm patients. They occur commonly at various stages of the medication process including prescribing, transcribing, preparing, dispensing, and administering medications. Several studies over decades have found high rates of medication errors and preventable adverse drug events in hospitals. James Reason developed a widely used model for classifying errors as either active failures by frontline staff or latent failures due to upstream organizational or management issues. Understanding the causes of errors through models like Reason's can help pharmacists and other healthcare providers develop effective strategies to improve medication safety.
Point Value Descriptive TitlePurpose and Analytical .docxLeilaniPoolsy
Point Value Descriptive Title
Purpose and
Analytical
Technique(s)
Summary of Results
Summary of
Conclusions
Error Analysis
Professional
Presentation
2
Title is complete and
informative, and written
in a scientific tone
A general purpose and
all relevant analytical
techniques are given
using the correct
scientific terminology
All major numerical
results are given with
correct units and
significant figures - All
important descriptive
results are given with
appropriate context
Conclusions are made
based on the results, any
accepted values are
given for comparison,
and percent error values
are provided
Errors are given,
followed through the
calculations, and the
effect on the result is
explained - Errors are
used to explain
deviations from the
expected results
Abstract is typed, proof
read, and printed on an
appropriate medium
1
Title is informative and
appropriate, yet is
somewhat incomplete,
contains errors, or is
written in an unscientific
tone
Purpose or techniques
are partially incomplete
or use layman's terms
Result section is mostly
complete, but some
relevant results are
omitted, or incorrect
units or significant
figures are used
Conclusion section is
mostly complete, but
some relevant
conclusions are omitted
Errors are given, but not
followed through the
calculations, or not used
to explain results
Abstract contains several
errors, or has
handwritten edits
0
Title is absent, or neither
informative nor
appropriate
Section is absent or not
relevant to the
experiment
Section is absent, less
than half complete, or
not relevant to the
experiment
Section is absent, less
than half complete, or
not relevant to the
experiment
Section is absent or not
relevant to the
experiment
Abstract is handwritten,
contains numerous
errors, or otherwise
unacceptably presented
Rubric for a Scientific Abstract
In general, abstracts will be graded on the six criteria below (column headings), worth two points each.
The resulting points out of 12 will be converted to a gradebook score out of five.
Score = (
5
/12 ) × Points
Some rules for it:
1. Font size 12, times new roman style.
2. 600 words
About Abstracts:
An abstract is a brief, written summary of the specific idea or concepts to be presented, and a statement of their relevance to practice or research.
This is one type to write abstracts:
Research abstracts: include a brief description of the author’s original objective or hypothesis research methodology, including design, participant characteristics and procedures, major findings, and conclusions or implications for dietetics.
All words should write by yourself, no quote from any website or paper.
Please check abstract grading rubric for get higher grade. Thanks.
PRACTICE APPLICATIONS
Business of Dietetics
Hospital-Acquired Conditions: Knowing, Preventing,
and Treating .
1.Focused Reflection (30 points) Objective To reflect.docxcarlstromcurtis
1.
Focused Reflection (30 points)
Objective: To reflect on the interprofessional roles (MD, SW, OT, PT, RT, RD, PharmD) you saw on the unit and describe communication between them and the nurse.
· List all of the different providers that were involved in your patient’s care. What was the focus of each of these providers in the patient’s care? What was your nursing focus in the patient’s care? Be specific and give examples.
· How did you or the nurse communicate with each different provider? How did each provider communicate with the nurse? Be specific and give examples.
· What did you see done well and what would you improve? What would you specifically do to improve it?
The reflection should be 2-3 pages, but not longer than 3 pages. Use Times New Roman 12 point font, 1 inch margins, and double spacing to format your paper. The reflection does not need a title page or references. See syllabus for late assignment point deductions.
Focused Reflection rubric
0
3
Length and Mechanics
Does not meet page requirement.
One formatting error. Multiple spelling/grammar errors. Point is not understandable.
3 pages typed.
Double spaced.
TNR 12 pt font.
1 inch margins.
Minor spelling/ grammar errors, but point is understandable
0
3
5
7
9
Listed providers and their focus vs. nursing focus. Was specific and gave examples.
Does not address.
Needs improvement.
Mostly complete.
Above average.
Completely addresses.
0
3
5
7
9
Described nurse to provider and provider to nurse communication. Was specific and gave examples.
Does not address.
Needs improvement.
Mostly complete.
Above average.
Completely addresses.
Described what was done well and what to improve. Gave specific suggestions on their improvements.
Does not address.
Needs improvement.
Mostly complete.
Above average.
Completely addresses.
Clinical Check-Offs
1.
Medication Administration Check-off
STUDENTS CAN ONLY ADMINISTER MEDICATIONS WITH THE CLINICAL INSTRUCTOR. This includes the administration of any kind of medication by any route. Medications cannot be administered with a staff nurse. Failure to follow this rule will result in failure of the check-off, immediate dismissal from the clinical site and inability to pass NM 322.
The clinical instructor will give medications with two students per day. Students must pass the medication check-off by the end of the semester.
2.
Clinical Performance Evaluation
The Clinical Performance Evaluation will be reviewed with the student as needed, at mid-semester and at the end of the semester. Failure to satisfactorily meet core competencies on the Clinical Performance Evaluation can result in being sent home from the clinical site, an academic alert, a corrective action plan and/or dismissal from the nursing program.
Please review the Student Laboratory and Clinical Handbook, especially the sections entitled “Standards for Studen.
1Running Head A CLINICAL ISSUEA Clinical Issue.docxjesusamckone
1
Running Head: A CLINICAL ISSUE
A Clinical Issue
Nursing Errors
Roberto J Silva
Evidence-Based Practice
Walden University
March 15, 2020
Perfection is not in humans, but at times we commit errors in areas that we should not. Such an environment is a medical setting because we deal with human life, which is very precious and once lost, cannot be recovered. Therefore, I based my clinical issue on a question on why there are errors in the medical field. I found this clinical issue to work hand in hand with the question of what are the adverse effects suffered by patients who are victimized of these nursing errors. How is the severity of the impact experienced by each patient when they bear errors that, as a result of medical officers, in this case, nurses? These articles observed research ethics because they were based on a practical environment, and all participants used for research were aware of the research being conducted.
These articles have different objectives, but all of them are concentrated in errors that are manifested in a medical setting by patients due to a nurse's faults of efficiency. The first article, in this case, is based on errors that are committed by nurses in cases of outpatient. The article associates these errors to technological shortcomings, which are as a result of a new method of prescribing outpatient (Matthew E. Hirschtritt, Steven Chan, Wilson O. Ly, Pharm). The second research article uses a more general approach whereby it assesses the general reasons why nurses find themselves committing errors while issuing medication to patients. This research article covers the reasons why these errors are manifested on a regular basis (Midwifery Journal, 2018).
The third article that I used for my paper was based on the frequency and severing of adverse effects suffered by patients for a case of nursing errors. To serve the purpose, the article is based on patients who exhibit old age demographic factors (Risk Management Health Policy, 2013). From the fourth research article that I used to assess my clinical issue in question, it was more related to the other three articles. It is also based on the reason for errors that are manifested in a psychiatric setting. In particle, the article focuses on the type and the nature of errors that are prevalent in the psychiatric setting (International Journal for Quality in Health Care, 2010).
Each of these research articles uses different methods to mine data and factual information about errors that are prevalent in the medical setting. They range from qualitative methods, quantitative methods, and others are based on mixed methods. The first article that I used for my clinical issue is based on a theoretical approach hence qualitative methodology. The article has an in-depth theoretical explanation of these errors from nurses. The second article is based on a quantitative methodology. Figures collected from participants are analyzed using ANOVA and chi-square tests. The .
1Running Head A CLINICAL ISSUEA Clinical Issue.docxaulasnilda
1
Running Head: A CLINICAL ISSUE
A Clinical Issue
Nursing Errors
Roberto J Silva
Evidence-Based Practice
Walden University
March 15, 2020
Perfection is not in humans, but at times we commit errors in areas that we should not. Such an environment is a medical setting because we deal with human life, which is very precious and once lost, cannot be recovered. Therefore, I based my clinical issue on a question on why there are errors in the medical field. I found this clinical issue to work hand in hand with the question of what are the adverse effects suffered by patients who are victimized of these nursing errors. How is the severity of the impact experienced by each patient when they bear errors that, as a result of medical officers, in this case, nurses? These articles observed research ethics because they were based on a practical environment, and all participants used for research were aware of the research being conducted.
These articles have different objectives, but all of them are concentrated in errors that are manifested in a medical setting by patients due to a nurse's faults of efficiency. The first article, in this case, is based on errors that are committed by nurses in cases of outpatient. The article associates these errors to technological shortcomings, which are as a result of a new method of prescribing outpatient (Matthew E. Hirschtritt, Steven Chan, Wilson O. Ly, Pharm). The second research article uses a more general approach whereby it assesses the general reasons why nurses find themselves committing errors while issuing medication to patients. This research article covers the reasons why these errors are manifested on a regular basis (Midwifery Journal, 2018).
The third article that I used for my paper was based on the frequency and severing of adverse effects suffered by patients for a case of nursing errors. To serve the purpose, the article is based on patients who exhibit old age demographic factors (Risk Management Health Policy, 2013). From the fourth research article that I used to assess my clinical issue in question, it was more related to the other three articles. It is also based on the reason for errors that are manifested in a psychiatric setting. In particle, the article focuses on the type and the nature of errors that are prevalent in the psychiatric setting (International Journal for Quality in Health Care, 2010).
Each of these research articles uses different methods to mine data and factual information about errors that are prevalent in the medical setting. They range from qualitative methods, quantitative methods, and others are based on mixed methods. The first article that I used for my clinical issue is based on a theoretical approach hence qualitative methodology. The article has an in-depth theoretical explanation of these errors from nurses. The second article is based on a quantitative methodology. Figures collected from participants are analyzed using ANOVA and chi-square tests. The ...
PUT YOUR HEADER HERE IN ALL CAPSvReducing th.docxwoodruffeloisa
This document is a research proposal submitted for a nursing capstone course. It aims to reduce hospital readmissions by analyzing causes of readmissions and developing interventions. The literature review found that readmissions are increasing, resulting in hospital penalties. Effective interventions include providing discharge education and follow-up care after discharge. The proposal will develop a plan to implement these strategies and evaluate their effectiveness in reducing readmissions.
Week 2 The Clinical Question77 unread replies.2525 replies..docxcockekeshia
Week 2: The Clinical Question
77 unread replies.2525 replies.
Your capstone change project begins this week when you identify a practice issue that you believe needs to change. The practice issue must pertain to a systematic review that you must choose from a List of Approved Systematic Reviews (Links to an external site.)Links to an external site. for the capstone project.
· Choose a systematic review from the list of approved reviews based on your interests or your practice situation.
· Formulate a significant clinical question related to the topic of the systematic review that will be the basis for your capstone change project.
· Relate how you developed the question.
· Describe the importance of this question to your clinical practice previously, currently, or in the future.
· Describe what a research-practice gap is.
· Collapse Subdiscussion
Julie White
Julie White
SundayOct 29 at 9:39am
Manage Discussion Entry
Opening Post_Julie
On a daily basis, healthcare providers are faced with an array of clinical decisions to be made in an efficient and timely manner. Translating evidence into best practices is one way to achieve this. Without current best evidence, practice is rapidly outdated, often to the detriment of the patient. Evidence based practice is the conscientious use of current best practice in making decisions about patient care (Sackett, Richardson, Rosenberg, & Hayes, 2000). It is important for health care professionals to ask questions about their current clinical practice. In this week’s threaded discussion you will ask that burning question that you ask in your daily care of your patients.
You’ll need to focus on asking the right questions, narrowing the questions to one that is nurse driven and the need for change is evident. The question that you formulate will be the question for your Capstone Project.
The process of reviewing scholarly articles for a change in practice is an important part of the development of any type of research project that can lead to a change in practice. As you are appraising the systematic review and other scholarly articles for your change project, think about areas of the article such as sample size, the population, type of study, discussion and limitations. Critiquing a research article will allow you to evaluate the scientific merit of the study and decide how the results may be useful in practice.
ReplyReply to Comment
·
Collapse Subdiscussion
Adele Allen
Adele Allen
SundayOct 29 at 12:58pm
Manage Discussion Entry
Hello Professor and Classmates,
Nurses are called to rely on current research to guide evidence-based practice. The research on a topic can be vast and contradictory. Traditional reviews of the evidence are no longer appropriate. The information sifting called for with the wealth of information available is too great a task. The reviewer needs guidelines to ensure bias is minimized and th.
comprehensive health screening and history on a young adult.docxwrite22
This document provides instructions for completing a comprehensive health screening and history on a young adult client. Students are to select a client, complete a health history worksheet, and develop three nursing diagnoses based on the client's health history and screening. The nursing diagnoses should include an actual diagnosis, a wellness diagnosis, and a risk-for diagnosis, with rationale provided for each. Students are evaluated based on thoroughly addressing all components of the health history, appropriately using medical terminology and abbreviations, demonstrating understanding of the human experience across the health-illness continuum, and accurately documenting cited sources.
Healthcare A diagram of the clinical or workflow process.pdfstirlingvwriters
The document discusses a quality management plan for Brigham and Women's Hospital, which specializes in women's health issues like cancer treatment. It analyzes the hospital's environment and conducts a SWOT analysis. The primary weakness identified is the hospital's management, which struggles to resolve issues between medical staff, risking reduced quality of patient care. The plan suggests the hospital implement ways to better manage internal conflicts to address this weakness.
Instructor Feedback
Assignment 2 Grading Criteria
Maximum Points
Earned
Points
Background and Significance Section articulates the problem and need for the proposed innovation.
5
5 – NP
Statement of the Problem and Purpose of the Study is appropriate and supported with evidence.
5
5
Research question
5
5
Research Hypothesis and Null Hypothesisare appropriate for research question.
15
10 – your research hypothesis is ok but you do not have a null – it should show no relationship between the same variables
Variables are Operationally Defined.
15
0 – you have talked about your data collection methods but have not provided any variable definitions
How are you defining – Patient satisfaction, improvement in health status, cost containment, availability of medical care
Followed APA guidelines for writing style, spelling and grammar, and citation of sources.
5
2 – page 3 had two different font types (look at the in text citation) spelling error – (can) – null hypothesis section – need a conclusion to your paper
Total:
50
27
Week 3 Research Proposal Draft
Elizabeth Flores
South University
Running head: WEEK 3 RESEARCH PROPOSAL DRAFT 1
WEEK 3 RESEARCH PROPOSAL DRAFT 2
Week 3 Research Proposal Draft
People will often judge others not just on the answer that is provided but also the question that is asked. Since we can't always get the answer right, we should try to at least get the question right! So in this humbled researcher’s opinion, the most relevant question for a nurse practitioner is very important. The question is: how can we elevate the level of health care in the United States and potentially the entire world while containing costs and effectively supply the voracious and ever growing need for compassionate, competent, and effective health care workers. This should also be accomplished as we fill the need for elevating the suboptimal work conditions, addressing the lack of respect, increasing the sub optimal remuneration, that advanced nurse practitioners are forced to endure on a daily basis.
The problem: Nurse practitioner are often bright, motivated, and talented individuals who are patient and just wanted to help the infirmed while making a career for themselves, which is barely possible in "todays climate".
The cause: Bright students are often pigeoned hole out of having the opportunity to attend medical schools by an antiquated and unfair school system in the United States. This system unfortunately often weeds out very talented and passionate individuals. I believe that schools from the very early ages are teaching many outdated concepts and use very tricky, sneaky, and unfair testing practices and questions. These schools waste a lot of time teaching out dated concepts and facts. Our world and has change so much yet schooling is locked into teaching many of the same concepts it did a hundred years ago while often ignoring more important concepts such health and cancer related topics.
Nearly 50% of patients in U.S. hospitals experience some form of harm during their stay, costing the economy $17.1 billion per year. The article proposes three simple rules that hospitals can adopt to reduce patient harm and improve safety: 1) Treat all patients and staff with respect to overcome a poor safety culture, 2) Develop a preoccupation with potential failures in order to prevent them, and 3) Ensure an open and transparent culture where staff are comfortable reporting errors without fear of reprisal. Following these three rules can help transform hospitals into high reliability organizations with improved patient safety.
Similar to IMPACTS OF MEDICATION ADMINISTRATION ERROR 1.docx (20)
in addition to these questions also answer the following;Answer .docxcharisellington63520
in addition to these questions also answer the following;
Answer the Stop and Consider question on page 319.
Differentiate neurologic and hormonal response to stress
Answer all questions in a Word Document and include the following:
Your name
Label each answer
Include references
Include In-text citations
Use APA Format
.
In an environment of compliancy laws, regulations, and standards, in.docxcharisellington63520
In an environment of compliancy laws, regulations, and standards, information technology (IT) departments in organizations must develop comprehensive organizational policies to support compliance. One specific area in which they must develop policies is the governance of fiduciary responsibility. Scenario: As changes occur in compliancy laws, regulations, and standards regularly, IT management of YieldMore has decided to evaluate the governance of fiduciary responsibility within the organization as it pertains to the IT department. Your team has been assigned the task of evaluating how the governance of fiduciary responsibility affects the organization’s risk. Tasks: You are asked to identify the relationship between fiduciary responsibility and organizational risk, and present this information to the IT management of YieldMore.
1. Identify key stakeholders, their roles and responsibilities, and the impact of fiduciary responsibility on each.
2. Determine the relationships among these stakeholders, the relationship between fiduciary responsibility, and organizational risk for each.
3. Distinguish the identified relationships as they relate to strategic, operational, and compliancy goals for the organization.
4. Develop an appropriate plan to govern fiduciary responsibility for the organization.
5. Prepare a report of your findings for IT management to review.
.
In American politics, people often compare their enemies to Hitler o.docxcharisellington63520
In American politics, people often compare their enemies to Hitler or to the Nazis. Many Democrats compared Trump to a "fascist," and Democrat Alexandria Ocasio-Cortez famously compared child detention facilities to "concentration camps." (Republicans claimed this was an unfair comparison and disrespectful to the real victims of the Holocaust.) On the other hand, Republicans often claim that their Democratic enemies are like Hitler, and often whine that "the Left" is persecuting them similar to how the Nazis persecuted the Jews ("cancel culture" is like the Holocaust, wearing a mask is like wearing a yellow star, etc.). Obviously these are exaggerated, bad comparisons, and are more about scoring political points than teaching history accurately.
But is it
always
wrong and disrespectful to draw comparisons or lessons from the Holocaust? Isn't it possible--while being respectful and acknowledging all the differences that make the Holocaust uniquely horrible--to try to draw lessons from it and prevent anything like it in the future? What comparisons or lessons for the present, if any, can we learn from the Holocaust?
Using specific evidence/examples/comparisons from the primary source you analyzed, please make a specific argument about a lesson or comparison
you might draw from the Holocaust. I'm not interested in your general/vague opinions about politics or Holocaust comparisons. I want you to carefully and respectfully (not politically) draw a lesson from something you learned in your document/film.
.
In addition to the thread, the student is required to reply to 2 oth.docxcharisellington63520
In addition to the thread, the student is required to reply to 2 other classmates’ threads. Each reply must be 300 words
American opinion has indeed shaped politic consequences, political interests, and policymaking. Even with little or no interest in policymaking and politics, the assumption of democracy gives the citizens the power to freely air out their issues and give their opinion in matters of political concern. Taking the war in Iraq, it posed a significant economic and political imbalance. However, support from the politicians was negligible. And because a majority of the Americans opposed the war in Iran, they voted for a Democratic congressional candidate. Their opinion played a great deal in making concrete policies in response to the war in Iraq.
Public opinion is a reflection of the citizens’ view on how the government responds to national politics. Political actions are driven by the citizen’s opinion (Erikson, & Tedin, 2015). It sheds light on the outcomes of specific policies and helps the political candidates identify the characters demanded of them by the citizens. Political scholars argued that the perception of old public opinions was changed because of ambiguity and inaccuracy (Dür, 2019). Modern theories came to identify public opinion as either latent or a broad expression. Latent opinions are formed on the spot, while broad expressions are opinions that had earlier been formed and remained stable (Cantril, 2015).
When convincing policymakers, it proves difficult, interest groups may indirectly influence public opinion. They can achieve this through the media, holding rallies, or handing out leaflets to the public (Dür, 2019). Because the citizens have little or no information on policymaking, they can easily be swayed by interest groups. Interest groups can, therefore, successfully source their support from public opinion or not.
Public opinion remains relevant in American politics. Journalists, politicians, and political scientists should focus on getting the public’s opinion on state affairs. In as much as views might differ or change, establishing a common ground will help in policymaking (Dür, 2019). For the war in Iraq, the Democratic gained power over the senate and House. This was greatly influenced by the failure of public support that shifted the pro-Democratic in 2006 and the 2008 elections. Because opinions are not fixed, establishing a connection between public views and political outcomes might be impossible.
References
Berry, J. M., & Wilcox, C. (2015).
The interest group society
. Routledge.
Cantril, H. (2015).
Gauging public opinion
. Princeton University Press.
Dür, A. (2019). How interest groups influence public opinion: Arguments matter more than the sources.
European journal of political research
,
58
(2), 514-535.
Erikson, R. S., & Tedin, K. L. (2015).
American public opinion: Its origins, content, and impact
. Routledge.
.
In addition to reading the Announcements, prepare for this d.docxcharisellington63520
In addition to reading the
Announcements
, prepare for this discussion by reading the
Required Resources
, the
Week Four Instructor Guidance
, and the scenario provided below. In particular, you should review the
Initial Referral to the Multidisciplinary Team form
found on p. 112-113 of your text, the
Child Study Team Referral Form
from week three, and
Part I
of the
Comprehensive Report
found in the
Instructor Guidance
for this week.
Scenario:
In addition to your role on the Child Study Team, you are also a member of the Multidisciplinary Evaluation Team (MDT). This team is preparing to meet because while the Tier Two Interventions have been helpful, Manuel is still struggling with his reading fluency and his writing, and is continuing to fall further behind. The MDT has received the signed and dated formal permission for referral from Manuel's parents and the school psychologist has conducted an academic achievement evaluation as described in your text. One of your roles as the special education inclusion teacher in your school is to translate the results of all the assessments in a way that is understandable to parents, the child, and to the regular education teacher. Another aspect of your role is to write the Initial Referral to the MDT such as the one described on p. 112 of the text. Finally, in your role as the special education inclusion teacher you are tasked with reviewing the results of all the assessments in order to to help the Manuel, his parents and his other teachers to understand the various strategies that are recommended based on his assessment outcomes.
You have reviewed the RTI data collected to date, including the informal observations of Mr, Franklin and Manuel's other teachers and samples of his classroom work, and have compared those data to
Part I of the Comprehensive Report
prepared by the school psychologist. That report is located in the Instructor Guidance for this week. The data paint a compelling and congruent picture of Manuel's current academic functioning. You are now ready to write an Initial Referral for Manuel so that his eligibility for special education services can be determined.
Initial Post:
Review the
Initial Referral to the Multi-Disciplinary Team form
on p. 112 and 113 of your text. Compare the information needed for that form with the
Child Study Team Referral Form
that you filled out last week for Manuel. Explain the different functions of the two documents and state how they are alike and how they are different. Then, explain how you plan to share the data on the Initial Referral to the Multi-Disciplinary Team form in a way that Manuel, his parents, and Mr. Franklin can understand. Be sure to include an explanation for why you are the one sharing this information with them. Include pertinent professional or personal real world examples to illustrate your points.
Text:
Pierangelo, R., & Giuliani, G. A. (2012).
Assessment in special education: A practical a.
In Act 4 during the trial scene, Bassanio says the following lin.docxcharisellington63520
In Act 4 during the trial scene, Bassanio says the following lines:
“Antonio, I am married to a wife
Which [who] is as dear to me as life itself;
But life itself, my wife, and all the world
Are not with me esteemed above your life.
I would lose all, ay sacrifice them all
Here to this devil [Shylock] to deliver [save] you.”
And Portia, who hears these lines (though Bassanio doesn’t know it), says,
“Your wife would give you little thanks for that
If she were [near]by to hear you make the offer.”
(Act 4, scene 1, 281-288
Is Antonio really more important to Bassanio than Portia? Explain why or why not. What do these lines tell us about the value of male friendship vs. marriage in this play? Would Portia be justified in rejecting Bassanio, since later in this scene he gives away the ring she gave him which he swore never to give up? (see Act 3, scene 2, lines 167-185) Your response should be about 200-250 words and should include specific references to lines in the play.
.
In a Word document, please respond to the following questions.docxcharisellington63520
In a Word document, please respond to the following questions:
How is the information discussed in the articles similar or different compared to what you have heard/learned about international/global communication? Especially compared to the chapters from our textbook
Business Writing Today.
Based on the information provided in the articles, what are some rules/conventions do people tend to follow when communicating across cultures and languages?
Which out of the four articles provoked a strong response in you? Did you agree and/or disagree with the author? Why?
.
In a Word document, create A Set of Instructions. (you will want.docxcharisellington63520
In a Word document, create
A Set of Instructions
. (you will want to save it twice—once as a .doc and once as a .pdf) Upload the .pdf document to the Unit 3 Dropbox. It should be single-spaced (as all technical docs are) with double spacing between sections. Think visually. Think simple steps. See the rubric.
.
In a two page response MLA format paperMaria Werner talks about .docxcharisellington63520
In a two page response MLA format paper
Maria Werner talks about the changes Perrault in his (17th century) version made to the much earlier original oral version of the tale written down by Delarue Paul Ed" The story of Grandmother" and the motivation behind the Grimms brothers(19th century) version of the tale. Compare and contrast these three versions of LRRH from the readings, explaining how the variations changes the focus not plot of each tale.
Readings
1. Charles Perrault: Little red riding hood(france)
2.Brothers Grimm: Little red cap(Germany)
3. Paul Delarue Ed: The story of grandmother(france)
.
In a paragraph (150 words minimum), please respond to the follow.docxcharisellington63520
In a paragraph (150 words minimum), please respond to the following questions:
Prior to reading the text, how would you have defined terrorism?
What is your understanding of terrorism now?
How would you account for the huge amount of terrorism in the 20th and 21st centuries?
What do you see as the ethically proper response to acts of terror?
.
In a paragraph form, discuss the belowThe client comes to t.docxcharisellington63520
In a paragraph form, discuss the below:
The client comes to the physician's office complaining of shortness of breath. He states he has a history of fluid in his lungs and he takes a "water pill" and a "bronchodilator" every day. Both legs are swollen. He also used inhaler cortisone when needed to ease his frequent difficult breathing. His blood pressure is 168/98 and his pulse is 144 beats per minute. Upon listening to his heart with a stethoscope, a third heart sound is noted and abnormal breath sounds. After complete blood work and radiological investigation, the patient is diagnosed with CHF and COPD.
Discuss all of this information with the physician using correct medical terminology.
.
In a minimum of 300 words in APA format.Through the advent o.docxcharisellington63520
In a minimum of 300 words in APA format.
Through the advent of social media, a thing known as "slactivism" has arisen. This is literally activism through social media and, despite such a negative label, researchers are finding that this actually works! Activism through the medium of social media is having a significant impact. This is just ONE example of many of not only a "mass behavior" but can also fit into all 4 categories of social movements. The individuals involved in this mass behavior/social behavior could easily be examined within the lens of the "contagion theory" as well as the "emergent-norm theory."
Go check out whatever form of Social Media/ Media you are most on, (facebook, instagram, tumblr, twitter, reddit, youtube etc. ) Look for an example of "slactivism" from people/influencers that you follow that is promoting a specific type of social movement. Discuss their post here by answering the following questions (if you feel comfortable you can post your example here as well but it is not required.)
1. Describe the post (or post it here), where did you find it, what do the contents involve?
2. Based on the readings from this chapter, what type of social movement are they promoting?
2. What theory of crowd behavior can be applied to this movement? Please expand
3. What Social movement theory can be applied to this movement? Please expand
4. At what stage in the social movement cycle would you place this movement?
.
In a paragraph form, post your initial response after reading th.docxcharisellington63520
In a paragraph form, post your initial response after reading the passage below:
The client comes to the physician's office complaining of shortness of breath. He states he has a history of fluid in his lungs and he takes a "water pill" and a "bronchodilator" every day. Both legs are swollen. He also used inhaler cortisone when needed to ease his frequent difficult breathing. His blood pressure is 168/98 and his pulse is 144 beats per minute. Upon listening to his heart with a stethoscope, a third heart sound is noted and abnormal breath sounds. After complete blood work and radiological investigation, the patient is diagnosed with CHF and COPD.
Discuss all of this information with the physician using correct medical terminology.
.
In a minimum 250-word paragraph, discuss at least one point the auth.docxcharisellington63520
In a minimum 250-word paragraph, discuss at least one point the author makes that stands out to you. Why did you find it interesting or strange? How does it compare to, connect to, and/or expand on your own experience and what you know about language and the world? Be specific. Explain. Use examples!
.
In a hostage crisis, is it ethical for a government to agree to gran.docxcharisellington63520
In a hostage crisis, is it ethical for a government to agree to grant a terrorist immunity if he releases the hostages, even though the government has every intention of capturing and prosecuting the terrorist once his hostages are released?
write an initial post (200-250 words) and one secondary post (minimum 100 words) (reply to the classmate's post, file attached)
For your initial post, you must have two academic peer-reviewed articles for references.
Discussion must include in-text citations and references in APA style formatting
Due 24 March 2021 by 1:00 PM ET
.
In a double-spaced 12 Font paper How did you immediately feel a.docxcharisellington63520
In a double-spaced 12 Font paper
How did you immediately feel after finishing the novel in relation to data security as a whole? Has your thought process changed regarding how you will share data? Do you value metadata more or less after reading this novel?
Do you feel that there should be more of an emphasis on personal privacy or public security? (Hint: you can use domestic threats to support your stance-whichever it may be.)
Considering the grand scheme of things, do you feel that what Edward Snowden did was wrong? Do you think he helped more people or put more people in danger?
Should the United States government continue to attempt to persecute Edward Snowden? If so, why? If not, why?
Do you think there could have been a better way for Edward Snowden to achieve the goal that he felt was necessary without inciting anger and fear from the United States government by being a whistleblower?
.
In a follow-up to your IoT discussion with management, you have .docxcharisellington63520
In a follow-up to your IoT discussion with management, you have been asked to document and describe Use Case examples of IoT Services and Applications, so they can see a clear application of the technology. After all, the goal of IoT is to ensure all company resources and technological objects can communicate, and documentation is always part of the process. In a report to your manager, describe the following topics:
An introduction to IoT technology and typical corporate devices being used within IoT
Examples of IoT services and applications describing the service, application, interface, and benefit to the organization. Please pick 3 of the following IoT Use Cases when informing management of this required information and the implementation of technology:
Predictive Maintenance (e.g., use of cameras, sensors and data analytics)
Smart Metering (e.g., internet device capable of measuring how a company consumes energy, gas or water)
Asset tracking (e.g., efficient location and monitoring of key assets)
Connected vehicles (e.g., automation of driving tasks)
Fleet Management (e.g., transportation efficiency and productivity)
Provide reference page with at least 3-5 references in APA format
4 to 5 pages
.
In a COVID-19 situation identify the guidelines for ethical use of t.docxcharisellington63520
In a COVID-19 situation identify the guidelines for ethical use of the computers and networks in any organisation.
Please discuss the NETIQUETTE technique and explain how it can help professionals to embrace ethical use of networks in the current pandemic situation. You need to use some cases in the discussion to add value to your discussion.
.
In a 750- to 1,250-word paper, evaluate the implications of Internet.docxcharisellington63520
In a 750- to 1,250-word paper, evaluate the implications of Internet use (including, but not limited to, basic web presence, online shopping, vendor unique portals, vendor specific portals, "IOT," social media, and/or VPN use) within a SMB, as well as data protection for intellectual property. Make sure to address third-party vendors, cloud technology, and technology trends.
.
In a 600 word count (EACH bullet point having 300 words each) di.docxcharisellington63520
In a 600 word count (EACH bullet point having 300 words each) discuss the following WITH no intro or conclusion needed… CITE AND REFERENCE WITH TWO PEER reVIEWS
· Discuss the diathesis-stress model as it pertains to schizophrenia.
· Explain the causal factors associated with the disorder.
(1) DQ word count 175
Please describe schizophrenia and dissociative identity disorder. How are the two disorders different? Do they have anything in common?
.
This presentation includes basic of PCOS their pathology and treatment and also Ayurveda correlation of PCOS and Ayurvedic line of treatment mentioned in classics.
How to Fix the Import Error in the Odoo 17Celine George
An import error occurs when a program fails to import a module or library, disrupting its execution. In languages like Python, this issue arises when the specified module cannot be found or accessed, hindering the program's functionality. Resolving import errors is crucial for maintaining smooth software operation and uninterrupted development processes.
Walmart Business+ and Spark Good for Nonprofits.pdfTechSoup
"Learn about all the ways Walmart supports nonprofit organizations.
You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
Special TechSoup offer for a free 180 days membership, and up to $150 in discounts on eligible orders.
Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
हिंदी वर्णमाला पीपीटी, hindi alphabet PPT presentation, hindi varnamala PPT, Hindi Varnamala pdf, हिंदी स्वर, हिंदी व्यंजन, sikhiye hindi varnmala, dr. mulla adam ali, hindi language and literature, hindi alphabet with drawing, hindi alphabet pdf, hindi varnamala for childrens, hindi language, hindi varnamala practice for kids, https://www.drmullaadamali.com
বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
Strategies for Effective Upskilling is a presentation by Chinwendu Peace in a Your Skill Boost Masterclass organisation by the Excellence Foundation for South Sudan on 08th and 09th June 2024 from 1 PM to 3 PM on each day.
A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
This presentation was provided by Steph Pollock of The American Psychological Association’s Journals Program, and Damita Snow, of The American Society of Civil Engineers (ASCE), for the initial session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session One: 'Setting Expectations: a DEIA Primer,' was held June 6, 2024.
RPMS TEMPLATE FOR SCHOOL YEAR 2023-2024 FOR TEACHER 1 TO TEACHER 3
IMPACTS OF MEDICATION ADMINISTRATION ERROR 1.docx
1. IMPACTS OF MEDICATION ADMINISTRATION ERROR
1
IMPACTS OF ADMINISTRATIVE ERRORS
5
Impacts of Medication Administration Error on Three to Four
years-old Leukemia Patients
Submitted by:
Prospectus
Doctor of Nursing Practice
The Prospectus Overview and Instructions
Prospectus Instructions:
1. Read the entire Prospectus Template to understand the
requirements for writing your prospectus. Each section contains
a narrative overview of what should be included in the section
and a table with the required criteria for each section. WRITE
TO THE CRITERIA, as they will be used to assess the
prospectus for the overall quality and feasibility of your
proposed research study.
2. As you draft each section, delete the narrative instructions
and insert your work related to that section. Use the criterion
table for each section to ensure that you address the
requirements for that particular section. Do not delete/remove
the criterion table as this is used by you and your committee to
evaluate your prospectus.
2. 3. Prior to submitting your prospectus for review by your chair
or methodologist, use the criteria table for each section to
complete a realistic self-evaluation, inserting what you believe
is your score for each listed criterion into the Learner Self-
Evaluation column. This is an exercise in self-evaluation and
critical reflection, and to ensure that you completed all sections,
addressing all required criteria for that section.
4. The scoring for the criteria ranges from a 0-3, as defined
below. Complete a realistic and thoughtful evaluation of your
work. Your chair and methodologist will also use the criterion
tables to evaluate your work.
5. Your Prospectus should be no longer than 6-10 pages when
the tables are deleted.
0
Item Not Present
1
Item is Present. Does Not Meet Expectations. Revisions are
Required: Not all components are present. Large gaps are
present in the components that leave the reader with significant
questions. All items scored at one must be addressed by learner
peer reviewer comments.
2
Item is Acceptable. Meets Expectations.Some Revisions May Be
Required Now or in the Future. The component is present and
adequate. Small gaps are present that leaves the reader with
questions. Any item scored at two must be addressed by the
learner per the reviewer's comments.
3. 3
Item Exceeds Expectations. No Revisions Required. The
component is addressed clearly and comprehensively. No gaps
are present that leaves the reader with questions. No changes
required.
Contents
4-5
6-7
8
9
10
-11
12
14
16
18
19
19
22
25
26
-27
26
27
-28
28
4. 30-31
Introduction
Health care firms have invested in nurses as front line staff that
should recognize and report any errors pertaining to medication,
although the nurse is the source of the error, a contributor of
has observed the error take place (Jones, at el 2016). They
depend on the nurse's ability to detect the problem and make
decisions to put forward the medication errors that have been
discovered. Chemotherapy is one of the dangers that young
Leukemia patients suffer when they are overexposed to the
radioactive rays. The administration of chemotherapy is the
main part of the clinical principals of oncology nursing. When
the medication is not well prescribed to the patients, who are
involved in the physical treatment rather the care that they are
being given by nurses.
Through statistical numbers, it shows about in-patients who are
suffering from the treatment suffer adverse impacts from the
administrative decisions that should be well structured by the
treating nurses. Human errors that happen among health care
workers are at the rising trend mainly because of forgetfulness,
inattention, poor motivation, carelessness, negligence, and
recklessness. These factors are due to human actions that can be
avoided by taking measures that will help resolve the problem.
Some of the errors are unrealistic since they seem to be petty
and minor to be committed with such high profile people who
have taken their studies of making things right in the treatment
of patients.
The efforts of reducing errors in health care sectors are mainly
directed towards the prevention of such occurrences than at the
management section when a mistake occurs. The management
should drive a mechanism of making sure they have a well-laid
protocol on how they should handle when they happen since
5. young patients are delicate of suffering a lot in making changes
in their health. Many institutions prescribe when errors happen
for Leukemia patients to be reported through the institutional
reporting system in such incidence.
Due to due to limited clinical experience, nursing students have
high chances of making mistakes in handling patients, offering
poor medication treatments. Students have been reported of a
lack of knowledge about patients' diagnosis, the purpose, and
correct method of administration of medication that patients are
supposed to be prescribed, especially to young patients who
require a lot of care while dealing with them. The
administration has the knowledge of nursing students having
weakness in handling patients in Leukemia since they are
sensitive to the type of prescription they are supposed to be
subjected to.
When a mistake has happened during the treatment of Leukemia
young patients, the administration should admit and report the
mistake in a good time to save the lives of the Leukemia
patients. There should be a proper monitoring system that
should be drawn in a cross range so that patients can have an
appropriate manner that they will have to settle their factors on
records and to have treatment of patients. Records do not
actually portray the exact situation with regard to the
occurrence of medications and errors that should be handled
inappropriate manner. The administration should take a close
range of all activities that take place with the institution so that
they can handle all errors that may happen during service
delivery to patients.
Criteria
Learner Self-Evaluation Score
(0-3)
Chair Evaluation Score
6. (0-3)
Reviewer Score
(0-3)
Introduction
This section briefly overviews the research focus or problem,
why this study is worth conducting, and how this study will be
completed.
The recommended length for this section is two to three
paragraphs.
1. A dissertation topic is introduced along with why the study is
needed.
2. It provides a summary of results from prior empirical
research on the topic.
3. Using results, societal needs, recommendations for further
study, or needs identified in three to five research studies
(primarily from the last three years), the learner identifies the
stated need, called a gap.
4. The section is written in a way that is well structured, has a
logical flow, uses correct paragraph structure, uses correct
sentence structure, uses correct punctuation, and uses correct
APA format.
7. NOTE: This Introduction section elaborates on the Topic from
the 10 Strategic Points. This Introduction section provides the
foundation for the Introduction section in Chapter 1 of the
Proposal.
Reviewer Comments:
Background of the Problem
The aim of the project is to examine crossly on impacts on
administrative errors that are made on young patients who are
suffering from Leukemia aged between three to four years. The
main consequences of medication administration errors affect a
patient’s morbidity and mortality. These errors affect families
of the patients, patients, and health institutions indirectly
through cost implications that would have been handled without
having committed the mistakes. Patients lose their lives when
they are given a wrong dose that should have been protected in
the early stages. The errors also bring about psychological
torture that will stretch to patients who are in the same
institution about the fate of their medication on the same
facility.
Notably, there are numerous issues that lead to medical errors.
Lack of clinical skills, experiences, and expertise have led to
poor diagnosis and treatment of young patients suffering from
Leukemia. Failure to maintain medical records has also reduced
the quality of patient care. Moreover, poor and inefficient
monitoring of teenagers with Leukemia results into poor
treatment hence putting the minors at a risk of succumbing to
the disease. Consequently, the families of kids suffering from
Leukemia are left with a huge emotional burden. Additionally,
the money spent on continuous treatment leaves the family
struggling financially to cater for medical costs due to errors
committed by medics. Generally, medical errors adversely
8. affect the quality of healthcare that young patients suffering
from Leukemia receive –hence the need to look into the issue of
keenly in order to improve the quality of medical care in all
healthcare facilities.
Criteria
Learner Self-Evaluation Score
(0-3)
Chair or Score
(0-3)
Reviewer Score
(0-3)
Background of the Problem
This section uses the literature to provide the reader with a
definition and statement of the research gap and problem the
study will address. This section further presents a brief
historical perspective of when the problem started and how it
has evolved over time.
The recommended length for this section is two-three
paragraphs.
1. Includes a brief discussion demonstrating how literature has
established the gap and a clear statement informing the reader
of the gap.
1
2. Discusses how the “need” or “defined gap” has evolved
historically into the current problem or opportunity to be
addressed by the proposed study (citing seminal and/or current
research).
1
9. 3. ALIGNMENT: The problem statement for the dissertation
will be developed from and justified by the “need” or “defined
gap” that is described in this section and supported by the
empirical research literature published within the past 3-5 years.
2
4. The section is written in a way that is well structured, has a
logical flow, uses correct paragraph structure, uses correct
sentence structure, uses correct punctuation, and uses correct
APA format.
2
NOTE: This Background of the Problem section uses
information from the Literature Review in the 10 Strategic
Points. This Background of the Problem section becomes the
Background of the Study in Note; this section develops the
foundation for Chapter 1 in the Proposal. It is then expanded to
develop the comprehensive Background to the Problem section
and Identification of the GAP sections in Chapter 2 (Literature
Review) in the Proposal.
Reviewer Comments:
Problem Statement
Cases of Young children aged between three and four years
have been reported several on poor medications that are offered
by health institutions. Administrative errors during diagnosis
and treatment have resulted to poor quality of patient care.
Today, medical errors have become rampant in the health
section leading to high mortality rate. Medical errors committed
by medics lead to wrong diagnosis and treatment of young
patients suffering from Leukemia. Inefficient treatment of
10. patients results into a number of adverse effects to both families
and friends of patients. Wrong diagnosis and treatment will lead
to heavy financial burden as well as emotional suffering once
patients continue to suffer since they are not given the
appropriate medical assistance. Therefore, the issue of
administrative errors continues to affect our healthcare system –
leading to poor quality of healthcare.
Criteria
Learner Self-Evaluation Score
(0-3)
Chair or Score
(0-3)
Reviewer Score
(0-3)
Problem Statement
This section includes the problem statement, the population
affected, and how the study will contribute to solving the
problem.
The recommended length for this section is one paragraph.
1. States the specific problem proposed for research with a clear
declarative statement.
1
2. Describes the population of interest affected by the problem.
The general population refers to all individuals that could be
affected by the study problem.
1
11. 3. Describes the unit of analysis.
For qualitative studies, this describes how the phenomenon will
be studied. This can be individuals, groups, or organizations
under study.
For quantitative studies, the unit of analysis needs to be defined
in terms of the variable structure (conceptual, operational, and
measurement).
1
4. Discusses the importance, scope, or opportunity for the
problem and the importance of addressing the problem.
1
5. The problem statement is developed based on the need or gap
defined in the Background to the Study section.
2
6. The section is written in a way that is well structured, has a
logical flow, uses correct paragraph structure, uses correct
sentence structure, uses correct punctuation, and uses correct
APA format.
1
NOTE: This section elaborates on the Problem Statement from
the 10 Strategic Points. This section becomes the foundation for
the Problem Statement section in Chapter 1 and other Chapters
where appropriate in the Proposal.
12. Reviewer Comments: Purpose of the Study
Basically, medical errors remain a major hindrance to quality
healthcare. Moreover, administrative errors continue to threaten
the success of the country’s healthcare system. Inefficient
diagnosis and treatment of young patients suffering from
Leukemia leads to high mortality rate. The significance of this
study is to use a qualitative approach in trying to understand the
root cause of administrative errors in healthcare. Several data
collection tools will be used in order to understand the factors
that lead to medical errors. The findings of the research will
help to develop strategies meant to counter the rising cases of
medical errors when attending to young patients with Leukemia.
This will help to enhance the quality of healthcare and also
reduce the rising mortality and morbidity rate.
Criteria
Learner Self-Evaluation Score
(0-3)
Chair or Score
(0-3)
Reviewer Score
(0-3)
PURPOSE OF THE STUDY
This section reflects what the study is about, connecting the
problem statement, methodology & research design, target
population, variables/phenomena, and geographic location.
The recommended length for this section is one paragraph.
13. 7. It begins with one sentence that identifies the research
methodology and design, target population, variables
(quantitative) or phenomena (qualitative) to be studied, and
geographic location.
1
8. : Defines the variables and relationships of variables.
9.
: Describes the nature of the phenomena to be explored.
1
10. The section is written in a way that is well structured, has a
logical flow, uses correct paragraph structure, uses correct
sentence structure, uses correct punctuation, and uses correct
APA format.
1
NOTE: This section elaborates on the information in the
Purpose Statement from the 10 Strategic Points. This section
becomes the foundation for the Purpose of the Study section in
Chapter 1 and other Chapters where appropriate in the Proposal.
Reviewer Comments:Research Questions
The study is going to be a qualitative descriptive that will be
focusing on the effects of administrative errors on patients aged
between three and four years (Mohammadabad at el 2015). It
has created a lot of concern about how patients should handle
their conditions even if they are not presented in the health
facility. The research will also focus on how other parties, such
as relatives and the family of the patient, get impacted.
Research questions
The following research questions will help to guide this
qualitative study:
14. · RQ1: How does the administration handle situations on errors
over Leukemia young leukemia patients?
· H1: Administration has not mechanism of dealing with
medical errors.
· RQ2: How soon should the errors be handled by the health
facility?
· H2: Medical errors occur regularly.
· RQ3: What the major causes of administrative errors?
· H3: The root cause of medical errors is unknown.
Criteria
Learner Self-Evaluation Score
(0-3)
Chair Score
(0-3)
Reviewer Score
(0-3)
Research Question(s) and/or Hypotheses
· The recommendation is a minimum of two research questions,
along with related hypotheses and variables is required for a
quantitative study.
· Also recommended is a minimum of two research questions,
along with the phenomenon description is required for a
qualitative study.
· Put the Research Questions in the appropriate Table in
Appendix B based on whether the study is qualitative or
15. quantitative.
The recommended length for this section is a list of research
questions and associated hypotheses (quantitative)
11. States the research question(s) the study will answer and
describes the phenomenon to be studied.
12. : States the research questions the study will answer,
identifies and describes the variables, and states the hypotheses
(predictive statements) using the format appropriate for the
specific design and statistical analysis.
2
13. Alignment: The research questions are based on both the
Problem Statement and Theoretical Foundation model(s) or
theory(s). There should be no research questions that are not
clearly aligned to the Problem Statement.
2
14. The section is written in a way that is well structured, has a
logical flow, uses correct paragraph structure, uses correct
sentence structure, uses correct punctuation, and uses correct
APA format.
2
NOTE: This section elaborates on the information about
Research Questions) & Hypothesis/variables or Phenomena
from the 10 Strategic Points. This section becomes the
foundation for the Research Question(s) and/or Hypotheses
section in Chapter 1 in the Proposal.
Reviewer Comments:Advancing Scientific Knowledge and
Significance of the Study
The study will look also look at other aspects that are affecting
16. health facilities such as lack of types of equipment and proper
technology that should be put in place. The study relates to
other fiends of technology, social welfare, and an education
system that should be taken in an advancing manner of having a
composed aspect of having critical affairs of making patients
meet their needs.
Criteria
Learner Self-Evaluation Score
(0-3)
Chair Score
(0-3)
Reviewer Score
(0-3)
ADVANCING SCIENTIFIC KNOWLEDGE and
SIGNIFICANCE OF THE STUDY
This section reiterates the gap or need in the literature and
states how the study will address the gap or need and how the
research will contribute to the literature, practical implications
to the community of interest, and alignment with the program of
study.
The recommended length for this section is one to two
paragraphs, providing a brief synopsis of each criterion listed
below, which will be expanded in the proposal.
15. Clearly identifies the “gap” or “need” in the literature that
was used to define the problem statement and develop the
research questions. (citations required)
2
16. Describes how the study will address the “gap” or
“identified need” defined in the literature and contribute to
17. /advance the body of literature. (citations required)
2
17. Describes the potential practical applications from the
research. (citations required)
2
18. Identifies and connects the theory(ies) or model(s) that
provide the theoretical foundations or conceptual frameworks
for the study. (citations required)
2
19. The section is written in a way that is well structured, has a
logical flow, uses correct paragraph structure, uses correct
sentence structure, uses correct punctuation, and uses correct
APA format.
2
NOTE: This section builds on information about the Literature
review and Theoretical Foundations sections in the 10 Strategic
Points. This section becomes the foundation for the Theoretical
Foundations section in Chapter 2
Reviewer Comments:
Rationale for Methodology
The qualitative approach will be used in this study. Qualitative
method is the most appropriate technique that can be used to
collect data from key respondents within the healthcare sector
in order to understand the factors that contribute to medical
errors. Qualitative data collection techniques like interviews
and questionnaires can be used to get the views of key
18. respondents in order to understand the issue of medical errors
and its effects on quality of healthcare (Ravandi, at el 2015).
For instance, interviewing key stakeholders in the healthcare
sector will help to capture the causal factors of administrative
errors in medical care provision.
Criteria
Learner Self-Evaluation Score
(0-3)
Chair or Score
(0-3)
Reviewer Score
(0-3)
Rationale for Methodology
The Rationale for the Methodology section clearly justifies the
methodology the researcher plans to use for conducting the
study. It argues how the methodological choice (quantitative or
qualitative) is the best approach to answer the research
questions and address the problem statement. Finally, it
contains citations from textbooks and articles on research
methodology and/or articles on related studies to provide
evidence to support the argument for the selected methodology.
The recommended length for this section is one paragraph.
20. Identifies the specific research methodology for the study.
2
21. It justifies the methodology to be used for the study by
discussing why it is an appropriate approach for answering the
research question(s) and addressing the problem statement.
19. 22. Justify in terms of the problem statement and the variables
for which data will be collected.
23. Justify in terms of problem statement and phenomenon.
2
24. Uses citations from seminal (authoritative) sources
(textbooks and/or empirical research literature) to justify the
selected methodology. Note:Introductory or survey research
textbooks (such as Creswell) are not considered seminal
sources.
2
25. The section is written in a way that is well structured, has a
logical flow, uses correct paragraph structure, uses correct
sentence structure, uses correct punctuation, and uses correct
APA format.
2
NOTE: This section elaborates on the Methodology and Design
in the 10 Strategic Points.This section becomes the foundation
for the Research Methodology in Chapter 1 of the Proposal and
the basis for developing Chapter 3, Research Methodology.
Reviewer Comments:Nature of the Research Design for the
Study
This research design will apply key qualitative data collection
instruments such as questionnaires and interviews in order to
collect data from the sample size. The data collected will then
analyzed in order to understand the nature of the current
healthcare system and the root cause of medical errors.
Qualitative-descriptive research is descriptive in nature and
helps in describing a natural phenomenon. This method will
20. help provide a clear finding of factors that have been making
the condition disastrous. Despite having control measures that
will help patients get relieved. The study area of this project is
mainly in the health facilities despite the level and ranks of the
health facility.
Criterion Score
Learner Self-Evaluation Score
(0-3)
Chair or Score
(0-3)
Reviewer Score
(0-3)
Nature of the Research Design for the Study
This section describes the specific research design to answer the
research questions and why this approach was selected. Here,
the learner discusses why the selected design is the best design
to address the problem statement and research questions as
compared to other designs. This section contains a description
of the research sample being studied, as well as the process that
will be used to collect the data on the sample.
The recommended length for this section is two to three
paragraphs and must address each criterion.
26. Identifies and describes the selected design for the study.
2
27. This justifies why the selected design addresses the problem
statement and research questions.
21. 28. Justifies the selected design based on the appropriateness
of the design to address the research questions and data for each
variable.
29. Justifies the selected design based on the appropriateness
of design to address research questions and study the
phenomenon.
1
30. Briefly describes the target population and sample for the
study.
2
31. Identifies the sources and instruments that will be used to
collect data needed to answer the research questions.
1
32. Briefly describes data collection procedures to collect data
on the sample.
2
33. The section is written in a way that is well structured, has a
logical flow, uses correct paragraph structure, uses correct
sentence structure, uses correct punctuation, and uses correct
APA format.
2
NOTE: This section also elaborates on the Design portion of the
Methodology and Design section in the 10 Strategic Points. This
section provides the foundation for the Nature of the Research
22. Design for the Study in Chapter 1.
Reviewer Comments:Sources of Data
Data sources will include:
· Patients
· Medical practitioners
· Previous studies
· Key stakeholders in the healthcare industry.
This research will obtain data from mainly from questionnaires
that will be drafted and be sent through patients and other stuff
who willing to give us feedback (Schmiegelow at el 2016).
Additionally, there will be the use of face to face conversations
with patients to have clear feedback on how the treatment is
being done in the health facility. Similarly, we will conduct
some interviews that will help us have more data collection and
accurately on the same factors.
Criterion Score
Learner Self-Evaluation Score
(0-3)
Chair or Score
(0-3)
Reviewer Score
(0-3)
RESEARCH MATERIALS, INSTRUMENTATION, OR
SOURCES OF DATA
This section identifies and describes the types of data that will
23. be collected, as well as the specific research materials,
instruments, and sources used to collect those data (tests,
surveys, validated instruments, questionnaires, interview
protocols, databases, media, etc.).
The recommended length for this section is one to two
paragraphs. Note: this section can be set up as a bulleted list.
:
Provides a bulleted list of the instrumentation and/or materials
for data collection.
Describes the survey instruments or equipment/materials used
(experimental research) and specifies the type and level of data
collected with each instrument.
Includes citations from original publications by instrument
developers (and subsequent users as appropriate) or related
studies.
1
Describes the structure of each data collection instrument and
data sources (tests, questionnaires, interview protocols,
observations databases, media, etc.).
1
The section is written in a way that is well structured, has a
logical flow, uses correct paragraph structure, uses correct
sentence structure, uses correct punctuation, and uses correct
APA format.
1
NOTE: This section elaborates on the Data Collection from the
24. 10 Strategic Points.
This information is summarized high level in Chapter 1 in the
Proposal in the Nature of the Research Design for the Study
section. This section provides the foundation for Research
Materials,Instrumentation (quantitative), or Sources of Data
(qualitative) section in Chapter 3.
Reviewer Comments:Data Collection
The data collection process will be based on informed consent.
Each respondent will be at liberty to provide data and also free
to withdraw from the research process. Moreover, the
confidentially and privacy of respondents will be protected.The
data will be collected through having patients who are at least
in a stable condition in that they can have that freeway of
having the ideas of contains the study. I will consider having
one patient after another so that I will judge the information
that they are providing if it's legible for the study (Iland at el
2015). I will also use the questioners that will not involve the
addition of the names of the response in order to keep the
information private and protect patients from any harm from
their responses.
The process will be as follows:
· Interviews will be conducted in a cool and conducive
environment that is free from disturbance.
· The respondent will answer the questions without any
influence from the researcher.
· The researcher will guide the respondent throughout the
process.
· The questionnaires will be given to the respondents who will
fill them and later return the filled questionnaires to the
25. researcher.
Criteria
Learner Self-Evaluation Score
(0-3)
Chair or Score
(0-3)
Reviewer Score
(0-3)
DATA COLLECTION AND MANAGEMENT
This section details the data …
10 STRATEGIC POINTS2
Ten Strategic Points
DNP-835-0501- Patient Outcomes and Sustainable Change
10 Strategic Points Table
(Use this table to complete the 10 Strategic Points document for
your project.)
10 Strategic Points
Comments/Feedback
Broad Topic Area
26. Impact of Medication Administration Errors on 3-4-Year-old
Leukemia Patients
Literature Review
A. Verghese, A., Charlton, B., Kassirer, J. P., Ramsey, M., &
Ioannidis, J. P. (2015). Inadequacies of physical examination as
a cause of medical errors and adverse events: a collection of
vignettes. The American journal of medicine, 128(12), 1322-
1324.
The authors in this article examines the “Inadequacies of
physical examination as a cause of medical errors and adverse
events: a collection of vignettes” from the American journal of
medicine. It takes into consideration the fact that, the oversights
in the corporeal assessment are a medical fault which aren’t
studied via chart evaluation. Furthermore, the article states that
these oversights in the corporeal assessments may be the
primary contributors to the neglected or late diagnosis besides
unnecessary exposure to contrast as well as radiation on the
Leukemia patients. Either the authors indicate that the incorrect
treatments resulting from these delays leads to unfavorable
results like fainting on the Leukemia patient, lack of appetite on
the side of the patient, worsening the Leukemia conditions
which eventually can lead to early death of the patient.
B. Hockings, J. K., Owolabi, D. K., Broyles, J. E., & Wheelis,
S. C. (2017). Impact of medication administration error on over
3 years Leukemia patients and the stimulating factors in acute
leukemia and stem cell transplant patients. Supportive Care in
Cancer, 25(6), 1853-1858.
The authors of this article explored the “Impact of medication
administration error on over 3 years Leukemia patients and the
stimulating factors in acute leukemia and stem cell transplant
patients.” This article is from supportive care in cancer and it
was retrieved from Google Scholar. The article authors
acknowledge the fact that, the medication administration errors
lead to severe impacts on the health conditions of the patient
27. more especially the ones who are 3 – 4 years of Leukemia.
According to the authors, the impacts associated with the
medication administration errors may lead to worsening of the
health condition of the patient, the rate of Leukemia
advancement into higher stages may also increase with
treatment or managing of this deadly disease being more
complicated. The authors argue that using erroneous medicines,
the Leukemia advancement increases without the knowledge of
the patient which makes even the survival chances of the patient
to reduce due to stress upon realizing that there was an error in
his or her medication.
C. Douer, D. (2016). Efficacy and safety of vincristine sulfate
liposome injection in the treatment of adult acute lymphocytic
leukemia. The oncologist, 21(7), 840-847.
This research study examines the “Efficacy and safety
vincristine sulfate liposome injection in the treatment of adult
acute lymphocytic Leukemia” this article is from the oncologist.
The article has been retrieved from Google Scholar. The authors
take into consideration on the erroneous administration of
vincristine sulfate liposome injection drug which is commonly
used for treatment of Leukemia more especially at the lower
stages like this of 3 – 4 years. However, when this drug is
misused, it leads to instant death according to the author since
even when it’s correctly applied, it’s normally restricted due to
neurotoxicity concerns. The author indicates that if a patient
with large body surface area to volume ratio is overdosed with
the drug, it will lead to death or reduction of the survival rates
to almost 20% in accordance with the authors’ analysis.
D. Tavitian, S., Denis, A., Vergez, F., Berard, E., Sarry, A.,
Huynh, A., ... & Bertoli, S. (2016). Impact of obesity in
favorable‐risk AML patients receiving intensive chemotherapy.
American journal of hematology, 91(2), 193-198.
The authors of this article analyze the “Impact of obesity in
favorable risk AML patients receiving intensive chemotherapy”
28. an article from American journal of hematology. The article has
been retrieved from Google Scholar. According to the authors,
the obesity has got negative impacts more especially to the
Leukemia patients who are receiving intensive chemotherapy
while trying to manage it at the earlier stages. According to the
authors, the erroneous medication administration to such
Leukemia patients may lead to paralysis in the earlier stages as
well as earlier death if the erroneous medication isn’t
recognized earlier.
E. Santoleri, F., Lasala, R., Ranucci, E., La Barba, G., Di
Lorenzo, R., Vetrò, A., ... & Costantini, A. (2016). Medication
adherence to tyrosine kinase inhibitors: 2-year analysis of
medication adherence to imatinib treatment for chronic myeloid
leukemia and correlation with the depth of molecular response.
Acta haematologica, 136(1), 45-51.
This last article explores “Medication adherence to tyrosine
kinase inhibitors: 2-year analysis of medication adherence to
imatinib treatment for chronic myeloid leukemia and correlation
with the depth of molecular response.” From Acta
haematologica, the article is retrieved from Google Scholar. In
accordance with the authors of the article, adherence to tyrosine
medication can help in the treatment of Leukemia more
especially at the earlier stage of 3 – 4 years. However, the
authors stresses that the erroneous administration of these drugs
that are meant to cure the Leukemia, they can turn out to be a
poison in the body which facilitates the advancement of the
disease in the body and eventually leads to coma and
consequently death.
From the above articles, various variables were identified which
includes, the patients served between 4AM to 8AM experience
higher rates of erroneous medication which is a time dependent
variable. The second variable is on the medication ordered by
practicing nurses, with resultant observation that it is very high
more especially during weekends. This is an independent
variable. The year of the trainee also means that a dependent
29. variable in the last first year trainees committed many erroneous
administrations of medication compared to final years trainees.
Problem Statement
It is not known the impact of medication administration errors
on 3-4-year-old leukemia patients
Clinical/PICO Questions
What is the impact of medication administration errors in
pediatric patients?
What are the impacts of medication administration errors on 3-
4-Year-old Leukemia Patients?
Sample
· Location– Harris County, Texas. USA
· Target Population:
· Pediatric Hospitals/ Patients
· 3-4-Year-old Leukemia Patients
· Physicians
· Therapists
Sample: Will be composed of interviews with 5 pediatric
hospitals, physicians, parents and 5 Therapists in the county.
Define Variables
To effectively understand the impact of medication
administration errors on 3-4-year-old Leukemia patients, the
following variables would be used.
· The number of patients seen who erroneously administered
medication are – dependent variable
· Medication ordered by the trainees – independent variable
· The year the trainee is in medical practicing like first year or
final year – independent variable.
Methodology and Design
Qualitative Descriptive Study
30. Purpose Statement
The purpose of this qualitative descriptive case study is to
understand are the impacts of medication administration errors
on 3-4-Year-old Leukemia Patients in Harris County, Texas?
Data Collection Approach
· Informed & signed consent by participants
· Visits to pediatric hospital facilities
· Interview with Physicians, Parents & Therapist recorded on
tape
· Sampling Method: Purposeful Sampling
· Sources: Interviews, Surveys & Questionnaires
Data Analysis Approach
· Data will be collected and analyzed for the study.
· Descriptive statistics will be used in summarizing the data
collected.
· Coding will be used to address questions posed.
· A narrative summary will be developed.
References
31. Douer, D. (2016). Efficacy and safety of vincristine sulfate
liposome injection in the treatment of adult acute lymphocytic
leukemia. The oncologist, 21(7), 840-847.
Hockings, J. K., Owolabi, D. K., Broyles, J. E., & Wheelis, S.
C. (2017). Impact of medication administration error on over 3
years Leukemia patients and the stimulating factors in acute
leukemia and stem cell transplant patients. Supportive Care in
Cancer, 25(6), 1853-1858.
Santoleri, F., Lasala, R., Ranucci, E., La Barba, G., Di Lorenzo,
R., Vetrò, A., ... & Costantini, A. (2016). Medication adherence
to tyrosine kinase inhibitors: 2-year analysis of medication
adherence to imatinib treatment for chronic myeloid leukemia
and correlation with the depth of molecular response. Acta
haematologica, 136(1), 45-51.
Tavitian, S., Denis, A., Vergez, F., Berard, E., Sarry, A.,
Huynh, A., ... & Bertoli, S. (2016). Impact of obesity in
favorable‐risk AML patients receiving intensive chemotherapy.
American journal of hematology, 91(2), 193-198.
Verghese, A., Charlton, B., Kassirer, J. P., Ramsey, M., &
Ioannidis, J. P. (2015). Inadequacies of physical examination as
a cause of medical errors and adverse events: a collection of
vignettes. The American journal of medicine, 128(12), 1322-
1324.
10
WORKING WITH INFERENTIAL STATISTICS
2
WORKING WITH INFERENTIAL STATISTICS
2
Working with Inferential Statistics
DNP-830-0502: Data Analysis
32. Introduction
Inferential statistics is the method used to draw inferences
regarding a population after analyzing a randomly selected
sample. According to (Simonsohn & Nelson, 2015) inferential
statistic allows one to use a small portion of the population to
make assumptions about the whole at large. Independent t-test
is used to test if the means of two unrelated groups are
statistically differ from each other whereas the ANOVA helps to
determine if there are any differences between the means of
more than one independent groups. The data provided can be
analyzed to investigate whether injures caused by children
differed based on type of movie, length or years of creating the
movie, and even the violence time in a movie.
Determining Statistics using a One-Tailed t-test (Question 1)
To investigate whether the children who were exposed to
movies that were created before 1980 actually caused more
injuries than those children who were exposed to movies after
1980, we perform an independent t-test. Injuries variable is
considered to be the dependent variable whereas the year of
movie release is the independent variable. The independent
variable in this case will have two groups: “children exposed to
movies created before 1980”, labelled as 1 and “children
exposed to movies created after 1980”, labelled as 2. The SPSS
(Ho, 2006) output for comparing the means is as shown below:
Table 1: Group Statistics
Group Statistics
Movie_Created
N
Mean
Std. Deviation
Std. Error Mean
Injuries
children exposed to movies created before 1980
33. 23
.74
1.010
.211
children exposed to movies created after 1980
51
2.12
2.016
.282
Table 2
Independent Samples Test Results
Levene's Test for Equality of Variances
t-test for Equality of Means
F
Sig.
t
df
Sig. (2-tailed)
Mean Difference
Std. Error Difference
95% Confidence Interval of the Difference
Lower
Upper
Injuries
34. Equal variances assumed
9.439
.003
-3.100
72
.003
-1.379
.445
-2.265
-.492
Equal variances not assumed
-3.914
71.10
.000
-1.379
.352
-2.081
-.676
The study determined that the hypothesis that those children
who were exposed to movies created before the year 1980
caused more injuries than those children who were exposed to
movies after 1980 was false since they caused statistically
significantly lower injuries compared to those children who
were exposed to movies after 1980, t (72) = -3.1, p=0.003.
ANOVA (Question 2)
To investigate the group that actually caused a lot of injuries we
analyzed injuries as the dependent variable and year as the
independent variable with the following groups:
“1” = children exposed to movies created between 1937-1960
“2” = children exposed to movies created between 1961-1989
35. “3” = children exposed to movies created between
1990-1999
Table 3: Descriptive Statistics
Descriptive
Injuries
N
Mean
Std. Deviation
Std. Error
95% Confidence Interval for Mean
Minimum
Maximum
Lower Bound
Upper Bound
1937-1960
13
1.00
1.000
.277
.40
37. Sum of Squares
df
Mean Square
F
Sig.
Between Groups
8.999
2
4.499
1.294
.281
Within Groups
246.852
71
3.477
Total
255.851
73
Based on the results, it can be deduced that there is a
statistically significance difference between the three groups as
shown by one-way ANOVA (F (2,71) = 1.294, p =0.281). The
group that has caused more injuries is that group with children
who were exposed to movies that were created between 1990-
1999 with a mean of 1.95, followed by that group of children
who were exposed to movies that were created between 1961-
1989 with 1.62 mean and children exposed to movies created
between the years 1937-1960 cause the least injuries
38. characterized by a mean of 1 as shown in the Table 2 of
descriptive statistics.
Conclusion
The assumptions for the Analysis of Variance (ANOVA) and the
one tailed t- test were met prior to conducting the analysis by
ensuring that the dependent variable “injuries” was a continuous
approximately normally distributed variable while the
independent variable “year” consisted of two independent
groups: movie that were created before 1980 and those movies
that created after 1980 (Moore et al., 2015).. There was also
homogeneity of variances as demonstrated by the Levene's test
(Lowry, 2014). Additionally, there were no significant outlies in
the variables analyzed. In conclusion, the discussed statistical
analysis can be very instrumental in deducing assumptions of a
population by simple analyzing a sample. How different
variable relate can also be determined.
References
Ho, R. (2006). Handbook of univariate and multivariate data
analysis and interpretation with SPSS. Chapman and Hall/CRC.
Lowry, R. (2014). Concepts and applications of inferential
statistics.
Simonsohn, U., Simmons, J. P., & Nelson, L. D. (2015).
Specification curve: Descriptive and inferential statistics on all
reasonable specifications.
Moore, D. S., Notz, W. I., Flinger, M. A. (2015). Basic Practice
of Statistics 6th Edition.
QUALITY AND SUSTAINABILITY: PART ONE 2
2
QUALITY AND SAFETY
39. Quality and Safety
DNP-835-0501- Patient Outcomes and Sustainable Change
Introduction
Patient safety is the essential foundation of delivering high-
quality health care. It is viewed as the underlying umbrella of
patient safety. According to the Institute of Medicine (IOM),
patient safety is indistinguishable from delivering high quality
health care. The organization defined it as “the degree to which
health services for individuals and populations increase the
likelihood of desired health outcomes and are consistent with
current professional knowledge.” Prevention of harm in its
practices have mostly defined by negative outcomes of care that
include mortality and morbidity (Mitchell, 2008). This project
discusses the role of quality and/or safety in nursing science
with emphasis on quality and/or safety measures and description
of their relationship and role in present-day nursing science and
how it applies quality or safety measures in nursing science. In
addition, it provided the components required to analyze a
health care program’s outcome (GCU, 2020).
Defining Quality and Safety Measures
40. According to the World Health Organization (WHO), quality in
nursing refers to “the extent to which health care services
provided to individuals and patient populations improve desired
health outcomes” (Salyers et al., 2017). For this to be achieved,
nursing practice must be people-centered, equitable, efficient,
timely effective and safe. While there are numerous ways of
developing, assessing and assuring quality, the concept of
quality in nursing care is difficult to measure. In the healthcare
setting, there are promises of providing quality care by nurses
and desired by patients. Quality care has significant impact on
patient experience and satisfaction. As the nursing environment
becomes more complex, organization leaders must understand
the role of quality in healthcare.
Regarding safety, it is yet an important component of high-
quality healthcare. You cannot talk about quality healthcare
without talking about safety. Multiple studies show that many
patients are harmed in healthcare facilities, which increases
their length of hospital stay or resulting in permanent injuries.
In severe cases lack of safety in healthcare results in death.
Studies show that this harm is not intentional, but as a result of
the multifaceted and complex nursing environment with the
outcome of a patient depending on a wide range of factors.
Multiple strategies have however been developed to improve
safety in healthcare.
Quality plays an important role in nursing practice. Healthcare
organizations must provide quality healthcare services to meet
the needs of their patients and the community in general. This
not only improves the outcome of patients but also increases
nurse satisfaction resulting in improved performance. Quality
ensures that healthcare organizations provide patient centered
services that take into consideration people’s aspirations and
preferences as well as the culture of their community. It also
ensures all patients receive equitable services regardless of their
personal characteristics such as socioeconomic status,
geographical location, ethnicity, race, or gender.
Quality in nursing also ensures that patients receive healthcare
41. on time and without delays. Once patients are admitted in the
healthcare system, they need to receive care as soon as possible.
It also ensures efficiency in the healthcare system. This implies
that healthcare is delivered in a manner that avoids wastage and
maximizes all resources available. Quality ensures there is
safety in delivering healthcare services to patients. This
involves delivering car that harm and risk to patients including
reducing medical errors and avoiding preventable injuries.
Providing quality care is therefore a critical part of
strengthening health systems (Graban, 2018).
The roles of safety measures in nursing practice is to ensure
reduce the likelihood of mistakes and limit harm though
planning that promotes effective communication. Nurse
practitioners, support staff and patients share a common goal; to
achieve the best health outcome possible. Safety in healthcare
promotes the well-being of the general community. Nurse
practitioners and healthcare managers must understand their
role in patient safety. Administrators must train all employees
about safety in the healthcare setting and updater the regularly
on any changes in policy. All employees in healthcare setting
must adhere to the safety procedures developed by the
organization.
Contemporary Example
There are various ways in which healthcare organizations apply
quality and safety measures in the healthcare system. One way
of ensuring safety quality and safety measures is by
communicating safety among patients. Patients have historically
played a passive role in their recovery process. Patients placed
significant trust on healthcare providers and unquestioningly
followed treatment plans. However, today healthcare
organizations emphasize on educating patients to help reduce
medical errors. Once patients are admitted in the healthcare
system, they receive specific information concerning their
safety. Patients are encouraged to ask questions where they
don’t understand to help prevent common healthcare errors that
could lead to undesirable outcomes (Vincent & Staines, 2019).
42. At the present, patients take part in their recovery planning.
They have increasingly become more involved in the treatment
progress. Therefore, they receive safer treatment as educated
consumers because health advocates and care providers have
helped them to develop the ability to notice potential problems
and ask relevant questions. Even after leaving healthcare
organizations, patients are able to monitor their situation and
determine when something goes wrong. As a result, more
patients are receiving quality treatment increasing their
outcomes. Patient education has proved to be an effective
approach in reducing medical errors that have historically
dominated the healthcare systems around the world (Modi et al.,
(2019).
Contemporary nursing practice has become more patient
centered. Whenever people talk about service quality, patient
centered care is always mentioned. Initially the philosophy was
considered to undermine the efforts of evidence-based practice.
However, health advocates now consider patient centered care
as an important framework for fostering desired wellness
outcomes. It allows nurse practitioners to incorporate evidence-
based practice in providing care to patients. Patients feel more
secure and trust the process, and they are fully aware of what to
expect. This awareness makes it easy for healthcare providers to
avoid making mistakes when dealing with patients. This also
eliminated illegal activities I the healthcare systems as
information is readily available.
Quality and Components Needed to Analyze a Health Care
Program's Outcomes
There are numerous components that can be used to analyze the
outcomes of a particular healthcare program. One of these
components is effectiveness. This involves providing healthcare
services based on evidence-based guidelines and scientific
knowledge. This helps to analyze patient outcomes by
determining whether recommended hospital care is utilized for
specific medical conditions such as prevention of surgical
infection, heart attack and pneumonia care. Timeliness is
43. another component needed to analyze the outcomes of
healthcare programs. Patients need to receive medical care
without any delays. In this quality measure, the patient reports
on the timeliness of care and services they received in a
particular healthcare facility (Brown, Dickinson & Kelaher,
2018).
Patient centeredness is another measure that is used to analyze
the outcomes of health care programs. This component involves
taking care of patients while considering their preferences. It
can be measured through reviewing patient reports of services
offered by an organization. It can also be analyzed by
determining whether a healthcare organization provided care
instructions after a patient has been discharged from hospital. In
patient centered care, people are given instructions on how to
care themselves at home. Failure to give these instructions
shows that the healthcare facility or hospital does not offer
patient centered care (Allen et al., 2016).
Another component that can be used to analyze the outcomes of
a particular healthcare program is efficiency. This component
involves providing services and care that minimizes wastage
and maximizes the available resources. This component can be
analyzed by utilization of hospital procedures and services as
measured by the average hospital stay or hospital discharge
rate. A low rate of discharge from the hospital shows lack of
efficiency in delivering healthcare services to patients. In the
same way, a high rate of hospital discharge is an indicator of an
effective healthcare system. Either way, an efficient healthcare
program must ensure patients receive quality healthcare services
(Lamé & Dixon-Woods, 2018).
Equity is also an important component in analyzing outcomes of
healthcare programs. This involves determining whether
patients receive equitable services regardless of their personal
characteristics such as socioeconomic status, geographical
location, ethnicity, race, or gender. Hospitals can provide
equitable services by ensuring they have equal number of beds
for both genders and ensuring there is no discrimination in the
44. healthcare setting. Electronic medical records can be used to
determine the services provided for every patient who visited a
particular hospital. Nurse to patient ration can also provide
critical information for the analysis of outcomes of healthcare
programs.
Conclusion
Patient safety remains the cornerstone in the provision of high-
quality health care. Health care professionals, especially nurses
are extremely important to the care, control, supervision and
coordination that will help in reducing negative or adverse
outcomes. The numerous government healthcare organizations
in collaboration with healthcare professionals must continue to
work on evaluating the impact of nursing care on positive
quality indicators that include appropriate self-care and other
measures of improved health status (Mitchell, 2008).
References
Allen, D., Braithwaite, J., Sandall, J., & Waring, J. (2016).
Towards a sociology of healthcare safety and quality. Sociology
of Health & Illness, 38(2), 181-197. Retrieved from
45. https://onlinelibrary.wiley.com/doi/full/10.1111/1467-
9566.12390
Brown, A., Dickinson, H., & Kelaher, M. (2018). Governing the
quality and safety of healthcare: A conceptual
framework. Social Science & Medicine, 202, 99-107. Retrieved
from
https://www.sciencedirect.com/science/article/abs/pii/S0277953
618300765
Graban, M. (2018). Lean hospitals: improving quality, patient
safety, and employee engagement. Productivity Press. Retrieved
grom https://www.taylorfrancis.com/books/9781315380827
Lamé, G., & Dixon-Woods, M. (2018). Using clinical
simulation to study how to improve quality and safety in
healthcare. BMJ Simulation and Technology Enhanced
Learning. Retrieved from
https://stel.bmj.com/content/early/2018/11/08/bmjstel-2018-
000370.abstract
Mitchell, P. H. (2008). Patient Safety and Quality: An
Evidence-Based Handbook for Nurses. Retrieved from
https://www.ncbi.nlm.nih.gov/books/NBK2681/
Modi, S., Ozaydin, B., Zengul, F., & Feldman, S. S. (2019). The
emerging literature for the triad of health informatics,
healthcare quality and safety, and healthcare simulation. Health
Systems, 8(3), 215-227. Retrieved from
https://orsociety.tandfonline.com/doi/abs/10.1080/20476965.201
9.1687263
Salyers, M. P., Bonfils, K. A., Luther, L., Firmin, R. L., White,
D. A., Adams, E. L., & Rollins, A. L. (2017). The relationship
between professional burnout and quality and safety in
healthcare: a meta-analysis. Journal of general internal
medicine, 32(4), 475-482. Retrieved rrom
https://link.springer.com/article/10.1007/s11606-016-3886-9
Vincent, C., & Staines, A. (2019). Enhancing the Quality and
Safety of Swiss Healthcare. Retrieved from
https://www.bag.admin.ch/dam/bag/fr/dokumente/kuv-
leistungen/qualitaetssicherung/Enhancing%20the%20Quality%2
46. 0and%20Safety%20of%20Swiss%20Healthcare-EN.pdf.d
I, (Bola Odusola-Stephen), verify that I have completed (10)
clock hours in association with the goals and objectives for this
assignment. I have also tracked said practice hours in the
Typhon Student Tracking System for verification purposes and
will be sure that all approvals are in place from my faculty and
practice mentor.
DNP-840
Comprehensive Assessment Part One: Competency Matrix
For each competency below, provide no more than one or two
sentences to explain how you met the competency through
selected coursework. You will expand upon these achievements
in the "Comprehensive Assessment Part Two: Outcomes and
Reflection" assignment. Note: You are not required to complete
every column for each competency. Select evidence from
coursework relevant to that particular competency to discuss.
Minimally, you should have one column complete for each
47. competency.
DNP Program Competencies
Programmatic Coursework: Summary of Competency
Achievement
Section One: Programmatic Assessments
Reflective Journals
Case Reports
Scholarly Activities
10 Strategic Points
DPI Project Draft Prospectus
Literature Review
Course Assignments With Practice Immersion Hours
(DNP-805 Through DNP-840 - Include Assignment Title)
1.2: Apply science-based theories and concepts to determine the
nature and significance of health and health care delivery
phenomena.
1.3: Employ science-based theories and concepts to describe
the actions and advanced strategies to enhance, alleviate, and
ameliorate health and health care delivery phenomena as
appropriate.
2.1: Employ principles of business, finance, economics, and
48. health policy to develop and implement effective plans for
practice-level and/or system-wide practice initiatives that will
improve the quality of health care delivery.
2.2: Demonstrate leadership, influence, and advocacy in the
development and implementation of institutional, local, state,
federal, and/or international health policy.
2.4: Provide leadership in the evaluation and resolution of
policy, ethical, and legal issues within health care systems.
3.1: Demonstrate the conceptual ability and technical skills to
develop and execute an evaluation plan involving data
extraction from practice information systems and databases.
49. 3.2: Evaluate current consumer health information sources for
accuracy, timeliness, and appropriateness.
3.4: Design, select, use, and evaluate programs that monitor
outcomes of care, care systems, and quality improvement
including consumer use of health care information systems.
4.1: Analyze epidemiological, biostatistical, environmental,
and other appropriate scientific data related to individual,
aggregate, and population health.
4.4: Advocate for social justice, equity, and ethical policies
within all health care arenas.
51. QUANTITATIVE METHODS OF INQUIRY
Quantitative Methods of Inquiry
DNP-830-0502: Data Analysis
Quantitative Methods of Inquiry
Quantitative methods of inquiry focus on gathering and
generalizing data through group’s people or describing a
particular phenomenon. According Letourneau University
(2019), quantitative methods emphasize on objective
measurements and the statistical, mathematical, or
numerical analysis of data collected through polls,
questionnaires, and surveys, or by manipulating pre-existing
statistical data using computational techniques. This type of
study uses interrelated set of variables to emphasize on
objective measurements while trying to establish associations
between variables. According to Clankie (2012), quantitative
method is a number driven analysis in which a researcher knows
what he or she is looking for in advance. The researcher
controls the whole experiment.
Quantitative methodologies allow researchers to quantify human
52. actions. While not all actions can be quantified, researchers
implement experiment research, survey research, content
analysis and meta-analysis in order to simplify their work.
These are hypothetic-deductive methods that can be quantified.
According Paynton and Hahn (2014), experimental research
uses the principles of research in the physical sciences to
conduct experiments that explore human behavior. The
researcher generally includes research control group and
experimental group in order to monitor different reactions to
different variable. This type of quantitative research can be
conducted in a real world setting or lab setting.
Survey research focuses on a number of questions designed to
cover a particular topic. According Paynton and Hahn (2014),
surveys; online, mailed, handed out, or conducted in interview
format, collect and represent participant responses in numerical
form using tables, graphs, charts, or percentages. The data is
then manipulated to come up with a conclusion about the topic.
On the other hand, content analysis is a method in which
researchers use content analysis to count the number of
occurrences of their particular focus of inquiry (Paynton
&Hahn, 2014). The researcher observes the human actions,
converts these actions to numbers and manipulates these
numbers to interpret the data by coming up with patterns or
trends that can be used to make claims on the significance of
the data.
Meta-analysis involves structured study of past literatures
discussing the topic area you want to analyze. According to
Paynton and Hahn (2014), meta-analysis analyzes existing
statistics found in a collection of quantitative research to
demonstrate patterns in a particular line of research over time.
Results from these studies are used to determine if similarity
exists among the studies or come up with new information.
In the year 2014, a mean number of 604, 175 were discharged
from all the states with the median number of discharges
standing at 393002 patients and 49564a as the mode.
Statistics
53. V5
N
Valid
31
Missing
3
Mean
604175.23
Median
393002.00
Mode
49564a
a. Multiple modes exist. The smallest value is shown
Fig1: Mean Median and Mode of discharges by state in 2014.
The total number of discharges in the year 2010 were
23,455,503 patients, 18,661,237 in 2012 and 13,976,012 in the
year 2015. In the year 2010, the number of discharges was
greater compared to the year 2015. These results show a
significant decrease of 9,469,491 discharges from the year 2010
to the year 2015.
Fig2: Simple Bar Graph for the year 2010, 2012 and 2015
Compared on the basis of location, North West states have the
lowest number of discharges, 2,543,090. On the other hand,
these numbers increase in North East States which have
7,742,830 numbers of discharges. Central States have 4,002,549
number of discharges, 5,724,239 in South Eastern states and
5,415,098 in the southwest states. There is no significant
difference between these discharges in most states in the year
2011.
Fig3: Discharges Comparison based on the location in the year
2011
54. References
Clankie, S., & Mima, T. (2012). A brief Comparison of
Qualitative and Quantitative Research Methods [Video file]
URL: https://www.youtube.com/watch?v=LYqDKEsy9gE
Letourneau University (2019). Quantitative Research and
Analysis. Research Guides. Retrieved From https://lib-
guides.letu.edu/quantresearch
Paynton, T. Scott & Hahn, K. Linda. (2014). Ouantitative
Method. Survey of Communication Study. Retrieved From
https://courses.lumenlearning.com/introductiontocommunication
/chapter/quantitative-methods/
I, (Bola Odusola-Stephen), verify that I have completed (10)
clock hours in association with the goals and objectives for this
assignment. I have also tracked said practice hours in the
Typhon Student Tracking System for verification purposes and
will be sure that all approvals are in place from my faculty and
practice mentor.
55. WORKING WITH DESCRIPTIVE STATISTICS 2
2
WORKING WITH DESCRIPTIVE STATISTICS
Working with Descriptive Statistics
DNP-830-0502: Data Analysis
Working with Descriptive Statistics
The descriptive test to be done in this assignment will be based
on the statistics gender to give the frequency account, mean,
standard deviation, minimum and maximum. In addition to this,
the bar graph containing the gender and the sugar axis will be
created.
The data to be used for the assignment is that of the group of
patients that were diagnosed with diabetes. During the
56. diagnosis, the blood sugar of each individual was recorded as
shown below.
Men
74
71
75
248
388
505
42
21
Female
62
68
61
71
68
80
390
148
Frequency Count is the measure of the number of times that the
event occurs (Narkhede, 2018). From the data provided, the
frequency count is 8 for both males and females.
Mean is referred to as the average of the data provided. It is
used to derive the central tendency. The mean of our data is
182.50 for males and 118.50 for females.
Standard deviation is the measure of how the data spread. Its
major use is the comparison of the data which is characterized
by the same mean but the different range (Donges 2018). The
standard deviation of our data is 184.438 for males and 113.339
for females.
The minimum is the greatest element of the sample. Our
minimum is 21 in men and 61 in the female.
Maximum is the largest element of the sample. The maximum is
505 in men and 390 in the female.
57. From table 2, the frequency distribution of the male variable is
1. This shows that each value of the variable only appeared
once.
Unlike table 1, table 3 which has the frequency of the female
blood sugar has a frequency of 1 in all the values except 68
which has the frequency of 2.
Appendix
Table 1 the means and the standard deviation
Report
male
female
Mean
182.50
118.50
N
8
8
Std. Deviation
184.438
113.339
Graphing and Descriptive Stats in SPSS
58. References
Donges, N. (2018). Intro to Descriptive Statistics. Retrieved
from: https://towardsdatascience.com/intro-to-descriptive-
statistics-252e9c464ac9
Narkhede, S. (2018). Understanding Descriptive Statistics.
Retrieved from: https://towardsdatascience.com/understanding-
descriptive-statistics-c9c2b0641291?gi=8b370314b330
I, (Bola Odusola-Stephen), verify that I have completed (10)
clock hours in association with the goals and objectives for this
assignment. I have also tracked said practice hours in the
Typhon Student Tracking System for verification purposes and
will be sure that all approvals are in place from my faculty and
practice mentor.
QUALITY AND SUSTAINABILITY-PART TWO 2
2
QUALITY AND SAFETY PART 2
Quality and Safety Part 2
DNP-835-0501- Patient Outcomes and Sustainable Change
59. Introduction
Patient safety is the essential foundation of delivering high-
quality health care. It is viewed as the underlying umbrella of
patient safety. According to the Institute of Medicine (IOM),
patient safety is indistinguishable from delivering high quality
health care. The organization defined it as “the degree to which
health services for individuals and populations increase the
likelihood of desired health outcomes and are consistent with
current professional knowledge.” Prevention of harm in its
practices have mostly defined by negative outcomes of care that
include mortality and morbidity (Mitchell, 2008). This project
discusses the role of quality and/or safety in nursing science
with emphasis on quality and/or safety measures and description
of their relationship and role in present-day nursing science and
how it applies quality or safety measures in nursing science. In
addition, it provided the components required to analyze a
health care program’s outcome (GCU, 2020).
Defining Quality and Safety Measures
According to the World Health Organization (WHO), quality in
nursing refers to “the extent to which health care services
provided to individuals and patient populations improve desired
health outcomes” (Salyers et al., 2017). For this to be achieved,
nursing practice must be people-centered, equitable, efficient,
timely effective and safe. While there are numerous ways of
developing, assessing and assuring quality, the concept of
quality in nursing care is difficult to measure. In the healthcare
setting, there are promises of providing quality care by nurses
60. and desired by patients. Quality care has significant impact on
patient experience and satisfaction. As the nursing environment
becomes more complex, organization leaders must understand
the role of quality in healthcare.
Regarding safety, it is yet an important component of high-
quality healthcare. You cannot talk about quality healthcare
without talking about safety. Multiple studies show that many
patients are harmed in healthcare facilities, which increases
their length of hospital stay or resulting in permanent injuries.
In severe cases lack of safety in healthcare results in death.
Studies show that this harm is not intentional, but as a result of
the multifaceted and complex nursing environment with the
outcome of a patient depending on a wide range of factors.
Multiple strategies have however been developed to improve
safety in healthcare.
Quality plays an important role in nursing practice. Healthcare
organizations must provide quality healthcare services to meet
the needs of their patients and the community in general. This
not only improves the outcome of patients but also increases
nurse satisfaction resulting in improved performance. Quality
ensures that healthcare organizations provide patient centered
services that take into consideration people’s aspirations and
preferences as well as the culture of their community. It also
ensures all patients receive equitable services regardless of their
personal characteristics such as socioeconomic status,
geographical location, ethnicity, race, or gender.
Quality in nursing also ensures that patients receive healthcare
on time and without delays. Once patients are admitted in the
healthcare system, they need to receive care as soon as possible.
It also ensures efficiency in the healthcare system. This implies
that healthcare is delivered in a manner that avoids wastage and
maximizes all resources available. Quality ensures there is
safety in delivering healthcare services to patients. This
involves delivering car that harm and risk to patients including
reducing medical errors and avoiding preventable injuries.
Providing quality care is therefore a critical part of
61. strengthening health systems (Graban, 2018).
The roles of safety measures in nursing practice is to ensure
reduce the likelihood of mistakes and limit harm though
planning that promotes effective communication. Nurse
practitioners, support staff and patients share a common goal; to
achieve the best health outcome possible. Safety in healthcare
promotes the well-being of the general community. Nurse
practitioners and healthcare managers must understand their
role in patient safety. Administrators must train all employees
about safety in the healthcare setting and updater the regularly
on any changes in policy. All employees in healthcare setting
must adhere to the safety procedures developed by the
organization.
Contemporary Example
There are various ways in which healthcare organizations apply
quality and safety measures in the healthcare system. One way
of ensuring safety quality and safety measures is by
communicating safety among patients. Patients have historically
played a passive role in their recovery process. Patients placed
significant trust on healthcare providers and unquestioningly
followed treatment plans. However, today healthcare
organizations emphasize on educating patients to help reduce
medical errors. Once patients are admitted in the healthcare
system, they receive specific information concerning their
safety. Patients are encouraged to ask questions where they
don’t understand to help prevent common healthcare errors that
could lead to undesirable outcomes (Vincent & Staines, 2019).
At the present, patients take part in their recovery planning.
They have increasingly become more involved in the treatment
progress. Therefore, they receive safer treatment as educated
consumers because health advocates and care providers have
helped them to develop the ability to notice potential problems
and ask relevant questions. Even after leaving healthcare
organizations, patients are able to monitor their situation and
determine when something goes wrong. As a result, more
patients are receiving quality treatment increasing their
62. outcomes. Patient education has proved to be an effective
approach in reducing medical errors that have historically
dominated the healthcare systems around the world (Modi et al.,
(2019).
Contemporary nursing practice has become more patient
centered. Whenever people talk about service quality, patient
centered care is always mentioned. Initially the philosophy was
considered to undermine the efforts of evidence-based practice.
However, health advocates now consider patient centered care
as an important framework for fostering desired wellness
outcomes. It allows nurse practitioners to incorporate evidence-
based practice in providing care to patients. Patients feel more
secure and trust the process, and they are fully aware of what to
expect. This awareness makes it easy for healthcare providers to
avoid making mistakes when dealing with patients. This also
eliminated illegal activities I the healthcare systems as
information is readily available.
Quality and Components Needed to Analyze a Health Care
Program's Outcomes
There are numerous components that can be used to analyze the
outcomes of a particular healthcare program. One of these
components is effectiveness. This involves providing healthcare
services based on evidence-based guidelines and scientific
knowledge. This helps to analyze patient outcomes by
determining whether recommended hospital care is utilized for
specific medical conditions such as prevention of surgical
infection, heart attack and pneumonia care. Timeliness is
another component needed to analyze the outcomes of
healthcare programs. Patients need to receive medical care
without any delays. In this quality measure, the patient reports
on the timeliness of care and services they received in a
particular healthcare facility (Brown, Dickinson & Kelaher,
2018).
Patient centeredness is another measure that is used to analyze
the outcomes of health care programs. This component involves
taking care of patients while considering their preferences. It
63. can be measured through reviewing patient reports of services
offered by an organization. It can also be analyzed by
determining whether a healthcare organization provided care
instructions after a patient has been discharged from hospital. In
patient centered care, people are given instructions on how to
care themselves at home. Failure to give these instructions
shows that the healthcare facility or hospital does not offer
patient centered care (Allen et al., 2016).
Another component that can be used to analyze the outcomes of
a particular healthcare program is efficiency. This component
involves providing services and care that minimizes wastage
and maximizes the available resources. This component can be
analyzed by utilization of hospital procedures and services as
measured by the average hospital stay or hospital discharge
rate. A low rate of discharge from the hospital shows lack of
efficiency in delivering healthcare services to patients. In the
same way, a high rate of hospital discharge is an indicator of an
effective healthcare system. Either way, an efficient healthcare
program must ensure patients receive quality healthcare services
(Lamé & Dixon-Woods, 2018).
Equity is also an important component in analyzing outcomes of
healthcare programs. This involves determining whether
patients receive equitable services regardless of their personal
characteristics such as socioeconomic status, geographical
location, ethnicity, race, or gender. Hospitals can provide
equitable services by ensuring they have equal number of beds
for both genders and ensuring there is no discrimination in the
healthcare setting. Electronic medical records can be used to
determine the services provided for every patient who visited a
particular hospital. Nurse to patient ration can also provide
critical information for the analysis of outcomes of healthcare
programs.
Conclusion
Patient safety remains the cornerstone in the provision of high-
quality health care. Health care professionals, especially nurses
are extremely important to the care, control, supervision and
64. coordination that will help in reducing negative or adverse
outcomes. The numerous government healthcare organizations
in collaboration with healthcare professionals must continue to
work on evaluating the impact of nursing care on positive
quality indicators that include appropriate self-care and other
measures of improved health status (Mitchell, 2008).
Analysis and Application
Description of the Healthcare Entity
Healthcare institutions exist in many varied forms depending on
their origin, core values, goals, mission, and vision (Rajfur &
Hys, 2018). Hospitals are part of the different types of
healthcare institutions. A hospital is an institution established
to offer health care services to society. As such, hospitals are
equipped with advanced tools to be used by trained health
practitioners who provided service delivery to the surrounding
communities. The healthcare entity to be considered in this
analysis is a mission hospital called AIM Healthcare Center.
AIM healthcare center was started over ten years ago by a group
of Christian missionaries. The cost of accessing healthcare
services is very high thus poor people can barely access the best
quality care. The founders identified a need to have a hospital
facility that will provide healthcare services to the less
privileged people in society. Furthermore, most of the poor
people do not have healthcare insurance coverage and thus are
unable to access quality healthcare services.
AIM healthcare center specializes in pediatric healthcare care
services as well as treating teenagers aged 18 years and below.
The founders of the mission hospital identified that young
children and teenagers from less privileged communities do not
have access to reliable healthcare services. Most of the patients
served by the AIM healthcare center are from the African-
American and Hispanic communities. Most of the financial
resources utilized to run the facility come from donations made
by individuals and various independent NGOs. The Methodist
church is also a major contributor to the Hospital's operations.
Several insurance companies also support AIM's initiatives to
65. provide affordable healthcare services by offering healthcare
covers at subsidized prices, exclusively to the less privileged
communities.
The entity under consideration has a workforce that comprises
120 medical doctors, 300 nurse practitioners, and 200 support
staff. Some employees at the hospital are members of the AIM
missionaries’ group who have specialized in medical studies.
AIM healthcare center is accredited by the Liaison Committee
on Graduate Medical Education as an affiliate of the
Association of Children's Hospitals. The institution is now
ranked among the best mission hospitals that offer outstanding
healthcare services to children and teenagers. Such recognition
has attracted more partners and philanthropists who support the
hospital to offer a better quality of healthcare to its patients. It
is essential to focus on providing healthcare services to the
younger generations because they are still undergoing growth
and development. Conditions that fail to be treated or managed
from early ages can be fatal in future years (Ruggles, et.al.,
2019).
Entity Success and Failure due to Quality Outcomes
The success of the AIM healthcare center over the years can be
attributed to the high level of commitment to its patient's safety.
Quality outcomes and patient safety measures are meant to
promote the effectiveness of healthcare services offered. Patient
Safety policy refers to all strategies put in place to prevent any
harm to the patients served at the facility. Quality healthcare
policy refers to the strategies put in place to ensure that all
patients receive the best healthcare services (Brown et.al.,
2018). AIM healthcare center promotes patients' safety and the
quality of healthcare services by upholding several operational
principles. The healthcare entity ensures that the patients are
offered the right medication, the right dosage, and through the
right procedures. The institution has adopted modern
technology, including nursing informatics systems, that
promotes the entire process of healthcare service delivery.
Prescriptions are not made without multiple verification. The
66. use of technology to conduct activities such as diagnostic
analysis and prescription has minimized errors.
Another safety measure that has promoted the success of the
AIM healthcare center is putting more emphasis on risk
mitigation strategies. The hospital has established a department
that deals with risk identification and mitigation. Risks that
arise in healthcare organizations harm the quality of services as
well as on the safety of patients. As such, it is very important to
identify and trace the root cause of various errors within a
hospital environment to promote the safety of the patients
(Mossialos, et.al., 2017). Risk mitigation policies and corrective
measures must be applied to prevent and resolve errors in
hospitals. The existence of a risk management department at the
AIM healthcare center is a critical success factor.
Despite the almost excellent services offered at the AIM
healthcare center, the hospital also faces some challenges that
may lead to failure if they are not addressed in time. Hospital-
acquired infections (HIA) have been a problem at the hospital
for several years. Policies that were implemented to address this
issue have had little if no effect; the infection rates have
increased over the years. The hospital incurs a lot of
unnecessary costs to treat hospital-acquired infections since the
cost is entirely transferred to the hospital. The high number of
patients frequenting the hospital is overwhelming for the
staffers, thus, the patient handling is poor at times. There was a
discovery that the catheters used in the wards and ICU are the
major cause of HAI at the hospital. If this problem remains
unaddressed, the hospital may be heading to failure.
Safety Area that Nursing Science Can Impact
Nursing science can have a significant impact on hospital-
acquired infections that are a threat to patient's safety. HAIs
pose a significant challenge to the hospital and should be
addressed immediately. Some variables that should be
considered while applying nursing science include the use of
antibiotics, hygiene measures, the hospital environment, as well
as the use of sterilized equipment.
67. Maintaining high levels of hygiene is very important especially
when addressing HAIs. Most of HAIs are contracted by patients
due to poor handling of equipment by nurse practitioners
(Percival, et.al., 2015). Hospitals are required to provide
amenities that promote the cleanliness of their staff members.
This includes the provision of hand sanitizers and other
disinfectants used in cleaning the hands before and after
conducting any activity. Patients should also be provided with
similar facilities to ensure they do not increase contamination.
Maintaining a clean environment at the hospital is yet another
way of reducing contamination and infection levels (Vincent &
Staines, 2019). The working environment should always be kept
clean and tidy. The standard guidelines for handling hospital
equipment and sterilization procedures must be observed.
Devices such as intravenous needles and syringes as well as
catheters must be disposed of properly to promote patient safety
and enhance the quality of care given. Finally, the last variable
that must be considered is antibiotics. Antibiotics can either
promote the quality of care or negatively affect the patients
depending on how they are administered. As such, it is
necessary to focus on progressive management of health
conditions to ensure that antibiotics yield the desired results.
Potential Obstacles
Nurses are not entirely to blame for the high rates of hospital-
acquired infections in various hospitals. Patients also play a
role in the contraction of HAIs due to carelessness and
ignorance (Percival, et.al., 2015). In most cases, a language
barrier affects communication between nurses and patients. For
instance, most of the patients treated at the AIM healthcare
center are Hispanics who barely understand or speak English.
This makes it very difficult for nurses to give instructions to the
patients who often do contrary to what is expected. Cultural
diversity can also hinder the implementation of quality and
safety measures.
High patient turnover rates can also affect the policy
implementation process at the AIM healthcare center. The
68. healthcare practitioners often have to work long hours hence the
quality of services offered declines due to exhaustion and
stress. It is not ethical to turn patients away just because a shift
is over. Nurses and doctors at AIM hospital are committed to
serving all patients and this may at times be at the expense of
their well-being. As a result, the quality of services offered is
affected.
Financial constraints also limit the policy implementation
process in the healthcare sector (Cheng, et.al., 2018). More
financial resources are required to implement any policy and
process changes. AIM healthcare sector operates based on
support from well-wishers and subsidized rates charged on
patients. The finances generated by the company are barely
enough to sustain operations. As such, the facility faces a
challenge of balancing between quality-service delivery and
allocating resources for process change implementation.
Collaborative Agents
Various stakeholders in the healthcare sector must work
together to ensure that safety and quality policies are
implemented successfully. In this case, the facility can
collaborate with first aid organizations such as Red Cross
society to transfer minor cases away from the hospital. This will
reduce the workload for nurses and lower operational costs. The
hospital can also partner with various medical training
institutions to initiate internship programs for nursing students.
Nursing students can offer support to nurse practitioners at the
hospital thus reducing their workload by handling minor tasks
(Allen, et.al., 2016). Healthcare departments established can
also be engaged to ensure the hospital receives some support for
the government. Finally, collaborating with the healthcare
managers at the hospital can promote the policy implementation
process to promote safety and quality.
69. References
Allen, D., Braithwaite, J., Sandall, J., & Waring, J. (2016).
Towards a sociology of healthcare safety and quality. Sociology
of Health & Illness, 38(2), 181-197. Retrieved from
https://onlinelibrary.wiley.com/doi/full/10.1111/1467-
9566.12390
Brown, A., Dickinson, H., & Kelaher, M. (2018). Governing the
quality and safety of healthcare: A conceptual
framework. Social Science & Medicine, 202, 99-107. Retrieved
from
https://www.sciencedirect.com/science/article/abs/pii/S0277953
618300765
Cheng, S., Jin, H., Yang, B., & Blank, R. H. (2018). Health
expenditure growth under single-payer systems: Comparing
South Korea and Taiwan. Value in Health Regional Issues, 15,
149-154. DOI: 10.1016/j.vhri.2018.03.002 URL: https://www-
sciencedirect-
com.lopes.idm.oclc.org/science/article/pii/S221210991830030X
?via%3Dihub
Mossialos, E., Djordjevic, A., Osborn, R., & Sarnak, D. (Eds.).
(2017). International profiles of health care systems, 2017:
Australia, Canada, China, Denmark, England, France, Germany,
70. India, Israel, Italy, Japan, the Netherlands, New Zealand,
Norway, Singapore, Sweden, Switzerland, Taiwan, and the
United States. New York, NY: Commonwealth Fund.
URL: https://www.commonwealthfund.org/publications/fund-
reports/2017/may/international-profiles-health-care-systems
Percival, S. L., Suleman, L., Vuotto, C., & Donelli, G. (2015).
Healthcare-associated infections, medical devices, and biofilms:
risk, tolerance, and control. Journal of medical microbiology,
64(4), 323-334. https://doi.org/10.1099/jmm.0.000032
Rajfur, P., & Hys, K. (2018). Management of the healthcare
system in Germany and France. Medical Science Pulse, 12(4),
55-60. DOI:10.5604/01.3001.0012.7213
URL:https://lopes.idm.oclc.org/login?url=https://search.ebscoho
st.com/login.aspx?direct=true&db=a9h&AN=135070172&site=e
host-live&scope=site
Ruggles, B. M., Xiong, A., & Kyle, B. (2019). Healthcare
coverage in the US and Japan: A comparison. Nursing, 49(4),
56-60. DOI: 10.1097/01.NURSE.0000553277. 03472.d8
URL:https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.co
m.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&P
AGE=fulltext&AN=00152193-201904000-
00016&D=ovft&PDF=y
Vincent, C., & Staines, A. (2019). ENHANCING THE
QUALITY AND SAFETY OF SWISS HEALTHCARE.
Retrieved from
https://www.bag.admin.ch/dam/bag/fr/dokumente/kuv-
leistungen/qualitaetssicherung/Enhancing%20the%20Quality%2
0and%20Safety%20of%20Swiss%20Healthcare-EN.pdf.d
I, (Bola Odusola-Stephen), verify that I have completed (10)
71. clock hours in association with the goals and objectives for this
assignment. I have also tracked said practice hours in the
Typhon Student Tracking System for verification purposes and
will be sure that all approvals are in place from my faculty and
practice mentor.
CASE REPORT: APPLICATION OF QUALITY AND SAFETY
CONCEPTS 2
2
IMPROVING THE OUTCOMES OF MENTAL HEALTH
SCREENING
Improving the Outcomes of Mental Health Screening
DNP-835-0501- Patient Outcomes and Sustainable Change
Improving the Outcomes of Mental Health Screening
Introduction
72. There is an overwhelming evidence revealing that a
considerable number of patients are suffering from mental
health disorders without the self-awareness of their condition.
Delayed screening and treatment of mental health disorders
either leads to delayed recovery, permanent symptoms, or
sometimes death. In the last decade, these impairments proved
to occur because of the shortage of screening programs in which
the treatment is delayed, and symptoms worsen. When a
significant number of health professionals (doctors,
pharmacists, nurses, dietitians, or radiologists) are included in
the treatment of a client with mental or behavioral issues, it
becomes a challenge to ascertain recovery unless the entire care
system is intended to support a complete and timely information
by all healthcare providers (VanderKooi, Conrad, & Spoelstra,
2018). The treatment of mental disorders is a concern in many
healthcare organizations, whether financed by the government
or privately commissioned. This project looks at the AHRQ and
the IOM report ("To Err Is Human" and "Crossing the Quality
Chasm") to develop a case report using quality and safety
concepts of improving the outcomes of mental health screening.
It describes and provides an understanding of mental health
problems and proposes intervention measures as well as
solutions to remedy gaps, inefficiencies, or other issues from a
theoretical approach.
Prescribing medication without the right assessment of the
patient’s condition or administering numerous drugs without
evaluating the possible adverse effects on the patient can cause
harm to the patient. Apart from that, patients are also subjected
to the risk of technology misuse, delayed treatment, and poor
communication between multiple departments of health care.
Safety in medical care is a vast subject integrating technology
such as informatics, CT scanning, radiography, ultrasound, x-
ray, and dialysis equipment. Significant indicators of patient
safety do not point to financial resources but involve the
competency of the clinician to facilitate safety practices
(Brownson et al., 2017). The safety of patients can be enhanced
73. if nurses engage patients and caregivers in the treatment plan,
communicating effectively, monitoring procedures, and learning
from previous errors (Will, Johnson, & Lamb, 2019). Reporting
and analyzing errors are beneficial in identifying major causal
factors. When the causal factors are understood, healthcare
providers can think about changes and help the medical team in
initiating effective measures to prevent the occurrence of errors.
This essay reports how nurses facilitate the quality of mental
healthcare through quality screening strategies and
collaborative interventions.
Problem Statement
According to the National Alliance on Mental Illness (NAMI,
2019), more than 21% of youths aged between 13-20 years are
struggling with mental disorders. If these conditions go
untreated, the symptoms may worsen, resulting in adverse
health implications and increase the cost of treating the
condition. The mental health of adolescents in the teenage
group determines the outcome of education and career for the
affected people. This maturation age go with both the
physiological and psychological transformations that make the
empathy of life a challenge. Following this observation, an
empirical assessment of medical facilities revealed various gaps
in delivering mental screening. There is a need to develop an
effective system of care collaboration and psychological
screening amongst healthcare providers and supportive
institutions.
Literature Review
The nursing practice stands out as one of the most versatile
careers in healthcare. Amaral, Geierstanger, Soleimanpour, and
Brindis (2011), created the scientific workforce concept for
nursing. The system encouraged team training and teamwork in
the execution of different treatment practices. Until today, the
concept has been effective even after modern nursing advanced
with the incorporation of technology and evidence-based
practices. Geared by adaptive capacity and versatility of the
nursing profession, career pathways have evolved, resulting in
74. the advanced scope of responsibilities and practice for health
professionals. In the context of mental health screening,
research was conducted by Bauldry and Szaflarski (2017) to
find evidence in improved mental health outcomes for teenagers
using the SBHCs. The SBHC is a standardized method of
screening and a collaborative model of patient care that
incorporates SBHC health professionals, administrators, and
guidance counselors. The databases examined include Pubmed,
PsycINFO, Nursing and Allied Health Literature (CINAHL),
Educational Resources Information Center (ERIC) using the
referral system, interprofessional, and mental health.
Udod and Wagner (2018) investigated the utilization and impact
of the Youth Pediatric Symptom Checklist (PSC-Y) screening
technique on the mental health of students and the immediate
medical appointment to the SBHC. Using the data collected
from 383 students in a single high school, researchers examined
the impact of implementing a screening tool. Among the
students who completed the screening, 14% scored above the
cutoff score. These results were useful in identifying students
who had previously participated in mental screening, those with
insurance coverage, and those with children. Besides, 12% of
the students showed an interest in mental health screening
because of their behavioral and emotional challenges. Overall,
the findings supported the previous results psychological
screening with the PSC-Y tool in which there was a 48%
decrease in mental related absenteeism and a 23% decrease in
lateness for students who were referred for mental screening.
Citing the OCA report of 2014, Barratt, and Thomas (2019)
attempted to demonstrate the effectiveness of applying universal
screening in a city case presentation in which he applied an
action research approach. The screening program applying the
Behavior Assessment System, Behavior and Emotion Screening
System (BASC-2) was instigated in three city schools in an
entire academic year and a subsequent follow-up in the next
year. The universal screening tool used for the platform
measures internalizing issues like behavioral issues, emotional
75. disturbance, adaptive skills, and learning problems. One
identified the benefit of the screening process, as noted by the
school administration, was the capacity to design counseling
schedules with consideration of pupils' needs, which supports
concrete data. In the first year of the program implementation,
partakers in grades9, 6, and 3 (N=315) accomplished the
program with 10% (N=31) being sorted for farther intervention.
Among the 31 students, 82% had reported disciplinary issues
with the administration. The remaining 20% had no reported
disciplinary issues nor school-based screening programs. The
findings suggest that the universal screening process helps in
uncovering students with behavioral and emotional
disturbances. Through effortful communication between the
school, community stakeholders, family, and comprehensive
screening facilitators, there was an increased awareness of the
psychological needs of students, increase collaboration with
mental health clinicians, greater awareness among caregivers,
and crisis-level intervention.
Impact of SBHC on Mental Health
With low-socioeconomic status individuals being the most
vulnerable for mental disorders and rising cost of treatment,
Van der Biezen, Wensing, Poghosyan, van der Burgt, and
Laurant (2017) investigated the impact of the application of
SBHC on healthcare systems and Health-related Quality of Life
(HRQOL) scores. The survey exploited a longitudinal quasi-
empirical repeated process that assessed the highlighted
indicators in four city schools that deliberated the SBHC
program and the other two schools that did not. The data were
classified in terms of cost perspective and outcome perspective,
and the dependent variables included the total Medicaid
insurance reimbursement, the HRQOL reported, the total cost of
medical care, and the number of students in the mental
screening programs. Results of the study demonstrated that the
students’ percentage who participated in the mental health
treatment in urban increased by 5.7% and by5.9% in rural areas
after SBHC programs were deployed. In the schools that did not